CARE HOME ADULTS 18-65
Arundel House 34 Garratts Lane Banstead Surrey SM7 2EB Lead Inspector
Mavis Clahar Unannounced Inspection 1st December 2005 10:35 Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 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 Arundel House DS0000034534.V270925.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 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. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Arundel House Address 34 Garratts Lane Banstead Surrey SM7 2EB 01737 361076 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) Surrey County Council - Adults & Community Care Mrs Corinne Elizabeth Brown Care Home 20 Category(ies) of Learning disability (16), Mental disorder, registration, with number excluding learning disability or dementia (2), of places Sensory impairment (4) Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Accommodation and services may be provided in respect of respite care for named persons aged 60-65 years with prior written agreement of the CSCI. That the registered managers duties must be solely for Arundel House. That the evening break service staffing arrangements must be totally separate from the homes staffing arrangements. 6th June 2005 Date of last inspection Brief Description of the Service: Arundel House is a large Residential Care Home. The home is registered for twenty service users with a learning disability. One service user has a mental disability and three service users have a sensory disability. The home also caters for two respite care beds. All bedrooms are single. One of the units in the home is currently not occupied and although some work has been completed it is not ready yet for occupancy. The grounds are extensive and there is ample parking at the front of the home. The home has its own transport and there are local amenities nearby. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second inspection to be undertaken in the Commission for Social Care inspection year March 2005 to April 2006. To obtain a full understanding of how the home meets the National minimum Standards for Younger Adults it is necessary to read both reports. This unannounced inspection took place on the 1st December 2006. This means that no one at the home was aware of the inspection. The home received an announced inspection on the 6th June 2005. The manager of the home was away on the day of inspection and the inspector was welcomed into the home by a member of care staff. The first part of the inspection was spent with the care worker explaining the format of the inspection, reviewing statutory requirements that were issued on the last inspection. The second part was spent touring the home and grounds, speaking with service users who were all capable and able to converse with the inspector, and time was also spent talking with care workers. There were no visitors to the home during the inspection. The home is subdivided into four separate units with the following names Jade, Sapphire, Azure, and Ruby The last inspection report was made available to service users and visitors, but it was noted by the inspector that the requirements page was removed from both public copies. This omission was discussed with the care worker in depth, as the report on display was not a true and complete record of the findings of the inspection. The inspector requested that this practice must be rectified as soon as the manager returned to duty on the 2nd December. Care practices were reviewed and are satisfactory. Many environmental issues that affect the safety of the service users were highlighted on this inspection and as a consequence a number of requirements have been issued under the Environment standard. What the service does well:
The home is caring for service users based on the individual approach to care where service users are heavily involved in their care and this is to be commended. Special and added time is spent with those service users with communication difficulties. The staff rota in pictorial form is placed on the service users notice board for the benefit of the service users.
Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 6 Weekly activities based on the wishes of the service users are also displayed in pictorial format on the notice board. 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. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 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 Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 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): 12345 These standards were assessed on the last inspection. EVIDENCE: For more information on these standards please refer to the inspection report of 6th June 2005. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 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 7 8 9 10 The above standards were assessed on the last inspection EVIDENCE: For information on these standards please refer to the inspection report of 6th June 2005. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 These standards were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the inspection report of 6th June 2005. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 11 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): 21 Care workers are knowledgeable about the care of the dying and grieving relatives. EVIDENCE: Training records of care workers revealed that they have received training on ageing, death and dying to include respecting the service users wishes, relatives wishes whom to contact, religious and non religious beliefs. The home is in the process of obtaining service users wishes regarding what they would like to happen with their bodies at the end of their lives, eg burial or cremation. The inspector was informed that some service users are not really interested. Their wishes on this topic are respected. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 12 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 23 These standards were assessed on the last inspection. EVIDENCE: For more information on these standards please refer to the inspection report of 6th June 2005. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 13 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 25 26 The home does not present as a safe environment for service users. EVIDENCE: The home has been recommended by the company who test their fire extinguisher in October 2005 that the “lining is lifted” from one of their fire extinguisher situated in Jade unit needs replacing. This was not done on the day of inspection. In bedroom three there was no running water hot or cold in the taps on the wash hand basin. Requirements have been issued. In the Sapphire unit the corridor leading to the laundry room, the plasterwork surrounding the doorjamb to the laundry is severely damaged. The right hand shelf in the laundry is broken and is unsafe for service users. Requirements have been issued. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 14 The bath kickboard in the bathroom in the Ruby unit needs to be repaired and painted, seal the tiles around the bath and generally clean the mould around the windows in this bathroom. Requirement has been issued on this standard. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 15 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): 31 32 33 34 35 36 These standards were assessed on the last inspection. EVIDENCE: For further information on these standards, please refer to the inspection report of 6th June 2005. Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 16 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): 42 The safety and welfare of the service users are not fully taken into account. EVIDENCE: Standard 42 was not met due to the number of environmental issues that could lead to service users safety and welfare being compromised. The manager must exercise more vigilant control over the maintenance issues in the home. Arundel House DS0000034534.V270925.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 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 2 2 2 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Arundel House Score X X X 3 Standard No 37 38 39 40 41 42 43 Score X X X X X 2 x DS0000034534.V270925.R01.S.doc Version 5.0 Page 18 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 YA42 Regulation 13 Requirement The temperature of the water must be regularly checked and monitored to ensure the safety and comfort of service users. The hot water temperature must be as close as possible to 43 degrees centigrade. Timescale of 06/06/05 not met The fire extinguisher situated on the landing of Jade unit is to be replaced immediately.. To ensure there is hot and cold running water in the taps of the wash hand basin in bedroom 3 in Jade unit immediately Repair the plasterwork surrounding the door leading into the laundry room in Sapphire unit. Repair the damaged shelf on the right side in the laundry room. Seal the Shower tray in the bathroom in Ruby unit. Clean the mould around the windows and reseal the bath in the bathroom of Ruby unit.. Repair and repaint the kickboard of the bath in the Ruby unit Timescale for action 06/02/06 2. 3. YA42 YA26 13 (4) (c) 23 02/12/05 02/12/05 4. YA24 23 02/03/06 5. 6. 7. 8. YA24 YA24 YA25 YA25 23 23 23 23 12/01/06 12/01/06 12/01/06 12/01/06 Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 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. Refer to Standard Good Practice Recommendations Arundel House DS0000034534.V270925.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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