Inspection on 24/01/06 for Arthur Court Residential Care Home

This inspection was carried out on 24th January 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

Arthur Court Residential Care... 23/01/07

Arthur Court Residential Care... 12/09/05

Arthur Court Residential Care... 21/12/04

Arthur Court Residential Care... 27/09/04

Arthur Court Residential Care... 10/02/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Arthur Court Residential Care Home 22/24 Christchurch Road Folkestone Kent CT20 2SL Lead Inspector Joseph Harris Announced Inspection 24th January 2006 09:30 Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 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 Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 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. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Arthur Court Residential Care Home Address 22/24 Christchurch Road Folkestone Kent CT20 2SL 01303 254906 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) ACL Care Homes Limited Ms Pauline Joy Walledge Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (17), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2005 Brief Description of the Service: Arthur Court is a 20 bedded home set in a quiet residential road of Folkestone. The service provides support for people suffering with a range of mental health issues, with a focus on people with a history of forensic psychiatric needs. The home aims to work positively with service users facilitating greater independence and empowerment. The home is about ½ mile from the centre of Folkestone and a good range of facilities. The building is arranged over four floors and continues to undergo redevelopment and modernisation on an on going basis. There is a good range of communal spaces including two lounges and an internet café. There is a compact, yet attractive and functional garden to the rear of the home. The service is run by ACL care homes, with the sister home located on the opposite side of the road. The organisation has developed a website and online learning tools accessible to all. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on the 24th January 2006 and lasted for around 7 hours. During the course of the inspection discussions were held with service users, visiting professionals, staff, the registered manager and the company directors. A tour of the premises was also carried out along with time spent examining records and documents relating to service users, health and safety issues and the running of the home. What the service does well: Arthur court is a progressive and forward thinking service, which aims to support people with mental health problems, some with forensic backgrounds, to gain greater independence and become active members of the community. The home works with service users to develop individual plans determining short and long-term goals and staff support residents to achieve these aims. The company directors and registered manager have developed close and positive links with community mental health and regional forensic services amongst other healthcare professionals. Two care managers and a placement officer were interviewed during the visit all of whom gave extremely positive feedback about the quality of the home. Comments such as “I recommend the home to other colleagues often”, “I am kept up to date with events; they communicate very well”, “I am made welcome whenever I visit” and “Arthur Court provides an excellent service”. The home facilitates the participation of service users in the running of the home encouraging individuals to take on responsibilities and contribute to the development of the service. There is a good staff development programme and the home has achieved the Investors in People Award. The organisation has also embraced computer technology and has introduced advanced systems to assist record keeping and monitoring of service user issues. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 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. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 7 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 Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 8 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): 1 (Standards 2-5 were assessed during the unannounced inspection on 12/09/05) Prospective service users are provided with clear information regarding the home. EVIDENCE: The home has developed a statement of purpose and service user guides relating to the range of support provided. Each prospective resident has a service user guide developed from the point of referral which are individualised and include information relating to their assessed needs, helping to inform the care plan. All information is set out in an accessible and understandable format. The organisation also has a website from which these documents, prior to individualisation, can be viewed and downloaded. Service user satisfaction questionnaires are included and copies of the guide and brochure are given to new and prospective residents on arrival. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 9 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, 8 and 10. (Standards 6, 7 and 9 were assessed during the unannounced inspection on 12/09/05) The home develops individual plans with service users. Service users are consulted on and participate in all aspects of daily life. Information is maintained in a confidential manner. EVIDENCE: A service user plan is developed for all residents setting out the objectives, needs, aspirations and goals for each individual. Service users are involved in the development of the plans and are encouraged to take appropriate levels of responsibility for their own progress towards the identified goals. The registered manager and staff team have continued to make on going improvements to the care planning methods addressing all needs in good detail using summaries and more detailed plans. Current issues are highlighted and monitored on a daily basis and specific action plans are generated to address short and long-term needs and goals. Residents are encouraged and supported to take an active role in the day-today organisation of the home. There is a good ethos of service user involvement from maintaining the environment to discussing the wider developments in the home through group and individual meetings. . The Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 10 organisation has an Annual General Meeting with an open invitation to staff, service users and other stakeholders. There is an open culture of information sharing and collective responsibility within the management framework, which is dependent on the involvement of service users. Individuals take on responsibilities within the home dependent on need and wishes including organising events, contributing to policy development, resident meetings and satisfaction questionnaires. Feedback regarding the home is actively sought by the Directors, registered manager and staff. If a shortfall or issue is highlighted the home aims to work proactively to address it maintaining good levels of communication. All information relating to service users is kept in a confidential manner with records stored securely and comprehensive security measures in place for ICT systems. Staff are instructed on confidentiality issues through the induction programme and there are policies and procedures in place covering this topic. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 11 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): 13, 14, 15 and 16. (Standards 11, 12 and 17 were assessed during the unannounced inspection on 12/09/05) Service users are supported to take an active role in the local community and engage in a good range of activities. Residents are able to maintain appropriate relationships and rights and responsibilities are recognised. EVIDENCE: Service users are encouraged to develop and maintain positive links within the local community. Information, contacts and knowledge about local resources are available. Trips out are arranged on an individual and group basis, service users are supported to access facilities independently where possible. All service users are on the electoral register and the right to vote is facilitated as desired. There is a good range of activities available for all service users, which include in-house group sessions, informal and recreational activities. Service users are supported to follow their own interests and hobbies and encouraged to develop new interests. Residents are also assisted to engage in activities outside the home, which are dependent on individual choices. All service users have the option of going on an annual holiday. The development of a social network, employment and training opportunities are considered key areas of the service enabling residents to work towards a more independent lifestyle. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 12 The home encourages the continuing support and involvement of families and friends. Residents are able to choose who they wish to see and visitors are welcomed into the home. There is adequate space for people to meet in private should they wish to do so. Residents are able to develop and maintain appropriate intimate relationships. The staff in the home are clear about providing education and support in this where necessary and as appropriate. Service user’s rights and privacy is respected. All individuals have keys to their own rooms and the front door and staff always knock and await a reply before entering unless in the event of an emergency. Residents are able to determine their daily routines unless there is an issue relating to healthcare needs and support, which is clearly documented and discussed with the individual concerned. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 13 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 and 21 (Standards 19 and 20 were assessed during the unannounced inspection on 12/09/05) Service users receive personal support as they prefer. Issues of ageing, illness and death are appropriately handled. EVIDENCE: The majority of service users are fully self-caring and require minimal support in addressing personal care needs. However, where personal support is required it is provided as per the wishes of the individual. Guidelines for such support are clearly outlined in individual plans and service users are able to state their needs in this respect. All specialist support is provided in terms of psychiatric and general health input from community healthcare teams. Any additional support such as occupational and physiotherapy is also provided as required. The home has developed excellent links with health and social care professionals. During the visit discussions were held with a number of care managers and visiting professionals who provided extremely positive feedback about the quality of the service. “I am impressed with Arthur Court and have recommended them to colleagues many times”, “My client has done well here, he receives excellent care and support” and “Staff keep in contact with me and let me know any concerns” were amongst the comments made. The home has Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 14 also set up regular monthly meetings with multi-disciplinary professionals to discuss general and specific care issues. Issues surrounding ageing and illness are appropriately handled and monitored. The home has adequate policies and procedures relating to illness and the event of death. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 15 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 (Standard 23 was assessed during the unannounced inspection on 12/09/05) The home has a clear and accessible complaints process. EVIDENCE: The home has a comprehensive and up to date complaints procedure in place. Service users are encouraged to use residents meetings and other forums to raise concerns and complaints, which are attempted to be resolved on an informal basis in the first instance. Service users were able to outline methods for concerns to be raised and some residents have independent advocates to facilitate the process. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 16 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, 26, 27, 28 and 30 The home is suitable for the needs of the service users throughout with comfortable bedrooms, adequate toilets and bathroom facilities and shared spaces. The home is clean and hygienic. EVIDENCE: The premises are well maintained, comfortable and homely. The directors continue to work on improving the environment with the conservatory currently being updated. There is adequate communal space throughout the home with are two large lounges and the sun lounge. There is also a goodsized dining room. There is a reasonably sized garden to the rear of the home, which is easily accessible to all and has also been improved. Service users have the benefit of comfortable and well-appointed bedrooms, one of which is a shared room with adequate screening and privacy. One resident stated that he is “proud of his room” and he has personalised it to a good degree. There are adequate numbers of toilets and bathrooms throughout the home suitable for the needs of the service users. On inspection the home was seen to be clean, hygienic and free from offensive odours. The laundry facilities are adequate for the needs of the home. All staff undertake training in control of infection and universal precautions and there are clear policies and procedures in place. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 17 Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 18 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, 33, 34, 35 and 36. (Standard 31 was assessed at the unannounced inspection on 12/09/05) There is a competent and suitably qualified staff team in adequate numbers on duty at all times. There home’s recruitment processes are robust. There is a good training programme for staff and adequate levels of supervision and support. EVIDENCE: The home offers a good staff development and training programme. All staff are encouraged to work towards NVQs relevant to their experience and the home comfortably exceeds the 50 target for NVQ trained staff. All mandatory training is provided and regular updates and refresher courses are provided for all staff. In addition to this staff are supported to identify and meet other training needs on topics including adult protection and abuse awareness, mental health issues and other courses relevant to the running of the home and needs of the service users. The registered manager and directors encourage staff to apply training learnt in the day to day running of the home delegating responsibilities and rewarding initiative. There are adequate numbers of staff on duty at all times. An additional 5 staff members have been recently employed to increase the staffing levels further enabling greater 1:1 time with service users. Currently there is a minimum of 6 staff on duty throughout the morning and a 4 staff in the evening. 2 waking staff work throughout the night. In addition to the number of care staff the registered manager and directors are on duty throughout the day and there is an effective on-call system for out of hours issues. A senior staff member is on Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 19 duty at all times. There are also ancillary staff such as a cook and housekeepers. A number of staff personnel files were viewed, all of which contained all relevant information, were clear, accessible and up to date. Two references are kept on file, along with proof of identity and evidence of CRB and POVAfirst checks. Staff are well supervised with a cascading system of formal supervision. All staff receive individual supervision at least 6 times a year and an annual appraisal. Staff who take on a supervisory role have undertaken relevant training. Staff members commented that the home is “a good place to work” and “I feel supported”. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 20 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, 40, 41 and 42 (Standards 38, 39 and 42 were assessed at the unannounced inspection on 12/09/05) The home is well run. Policies and procedures are in place to safeguard service user’s rights. Health, safety and welfare issues are maintained. EVIDENCE: The registered manager has been in post for a number of years and has a good level of experience of working with people with mental health issues and of care home management. She has achieved her NVQ 4/RMA and continues to expand her knowledge base and update existing skills. She is ably supported in her role by the service directors and a stable core staff team. The home has developed adequate policies and procedures relating to all aspects of the service, which are accessible to all staff and regularly updated. The home ensures that all service user financial records are maintained and kept up to date, with a clear audit trail. The home does not act as an appointee for any individual. Some service users manage their own affairs and where assistance is required financial matters are handled by a professional or family member independent of the service. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 21 All records pertaining to health and safety issues were clear, up to date and well maintained. Fire and accident logs were completed and all service certificates and checks have been carried out and kept on file. Environmental risk assessments are completed and reviewed as necessary. All staff have received relevant induction and mandatory training and policies and procedures addressing safe working practices are in place. Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 22 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 3 2 X 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 X ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 4 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X 3 3 X X 3 3 3 X Arthur Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 23 No 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. 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 Court Residential Care Home DS0000023340.V284612.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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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