Inspection on 13/06/06 for Arundel House

This inspection was carried out on 13th June 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Arundel House 11/03/09

Arundel House 01/12/05

Arundel House 06/06/05

Arundel House 15/10/04

Arundel House 21/06/04

Similar services:

Southfields

Thorndene

Insight - Eastchurch

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Arundel House 34 Garratts Lane Banstead Surrey SM7 2EB Lead Inspector Mary Williamson Unannounced Inspection 13th June 2006 10:00 Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 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.V299992.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 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.V299992.R01.S.doc Version 5.2 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 18 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.V299992.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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. Date of last inspection 1st December 2005 Brief Description of the Service: Arundel House is a large Residential Care Home. The home is registered for eighteen 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 three respite care beds. All bedrooms are single. Accommodation is arranged over four units with the following names, Jade, Sapphire, Azure, and Ruby. Each unit has its own facilities to include lounge and dining areas and kitchens 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. The fees average £646 per week. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two days. The first visit was undertaken on 13/06/06 and the second visit on the 29/06/2003. It was necessary to undertake a second visit to gain feedback from the service users as most of them were attending the day centre during the first visit. Mary Williamson who is the Lead Inspector for the service undertook the inspection. The home manage Corinne Brown, deputy managers Anthony Miller and Trevor Radley were all present during some part of the inspection. It was possible to meet some of the service users and get feedback on their experiences regarding living in Arundel House. A tour of the premises was undertaken and records relating to the care of the service users and the management of the home were examined. Three service users invited the inspector to view their rooms, which were well decorated and individually personalised. They also shared experiences with the inspector about living at Arundel House. One service user stated that she liked having her day off as she can tidy her room and make cakes. One service user stated that she liked to watch day- time television, and another “I like to go the local village for mars bars and coke”. All the service users were relaxed and well cared for. Two agency staff were on duty on two units. They were knowledgeable of the service users needs they were supervising and both stated that they had worked in the home several times before. They also stated that their agency provides training. The inspector would like to thank the service users and the staff team for their input to the inspection process. What the service does well: Arundel house provides care and support for service users based on an individual approach to care. Service users are very involved in planning and developing their own care programmes. The activities board displays events for the week in symbol and pictorial format. It also displays photographs of staff working in the home to remind service users who is on duty. This board also includes photographs of care managers support therapists and a photograph of the Lead Inspector for the home. The standard of record keeping is good. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 6 The recruitment procedure also includes service users involvement in the selection of prospective staff. 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.V299992.R01.S.doc Version 5.2 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.V299992.R01.S.doc Version 5.2 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, 2, 4, and 5. Quality in this outcome area is good. Judgement has been made using information available including two visits to the service. Prospective service users have the information necessary to help them with support make a choice about living in the home. Needs are assessed prior to admission. EVIDENCE: The home has a statement of purpose and service user guide in place and all prospective service users and their representatives have access to a copy of this prior to admission in order to help them make an informed choice about living at Arundel House. All prospective service users have a pre admission needs assessment undertaken prior to admission. Needs assessments were seen for PD, PK, HD, and CH. The manager and the care manager undertake these assessments. A staggered admission process is normally offered over a series of visits from a day visit to a weekend visit. There are however occasions when an emergency placement will be offered. Contracts of terms and conditions of occupancy are in place, which include the room to be occupied, the services offered, and the fees to be paid by the funding authority. These are signed by the service user or on his behalf and a copy retained on file. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 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, and 9. Quality in this outcome area is good. Judgement has been made using information available including two visits to the service. Assessed needs are documented in individual care plans. Risk assessments are in place. EVIDENCE: Care plans were seen for PD, PK, HD, and CH. The care plans sampled are well maintained and detailed. They are written with input from the service users, information from relatives and based on the pre admission needs assessment. Personal profiles are also in place and outline in detail individual needs, choice and expectations. Care plans are reviewed every month in the home, and every year by the care manager or more frequently if required. C H explained how she can make decisions about how she spends her time. She can attend day care for activities she enjoys, can decide what to wear, what to eat, who she wishes to go on holiday with and what television programmes she likes to watch. Risk assessments are in place for all identified risks. Some risk assessments include fire safety, use of kitchen equipment, COSHH, food hygiene for cooking skills, risks to access community activities unescorted and self administration of medication. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 10 Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 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): 12, 13, 15, 16, and 17. Quality in this outcome area is good. Judgement was made using available evidence including a visit to the service. The activities programme meets individual and collective needs of service users. The nutritional needs of service users are also met. EVIDENCE: There is an activities board in the main hall, which is maintained by the activities coordinator Sandra. The board displays events for the week for example cinema choice, outside events, a healthy living plan, and staff gossip to include a photograph of a new baby. Most of the service users attend day care activities on an individual basis as outlined in their care plan. On days off they take part in home based activities for example individual shopping, taking care of their bedrooms, attending to their financial matters at the local bank and attending appointments. All service users access local community facilities. One service user stated that she was a member of the local scout group and attends weekly meetings. Another service user is keen on drama and stated that he was going to a play the following week at the Epsom Playhouse. Staff support service users to Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 12 maintain their hobbies. HD told the inspector that he is buys the Radio Times every week to plan ahead so he can listen to his favourite DJ’S at various times. Holidays are arranged and PD stated she had been to Cornwall, and another said he goes home. Family links are maintained and visitors are welcome to visit at any reasonable time. Relatives are involved in reviews and are kept updated in individual progress. Menus were seen and are varied and nutritious. Service users plan these, on individual units with support of staff. Shopping is planned accordingly. Service users with support of staff cook the main meal in the evening on individual units. CH said “I cooked pasta last night with salad” and “I make lovely cakes”. All four kitchens are clean, tidy, and well equipped. There is a rota for washing up and all service users take turns. Risk assessments are in place for food hygiene and the use of cooking equipment. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 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, 19, and 20. Quality in this outcome area is good. Judgement has been made using available evidence including two visits to the service. Service users personal and health care needs are met. Arrangements are in place for the safe administration of medication. EVIDENCE: Personal care and support is undertaken in a sensitive and kind manner as outlined in individual care plans. CH said she liked to have a shower and staff will help her if she needs it. All service users are registered with a local GP in various practices, and will attend appointments when necessary. Chiropody can be accessed at the local Banstead clinic and service users are registered individually with local dentists. Specialist input can be obtained on referral by a GP. There is a medication policy in place and all staff who administer medication are familiar with this. Boots the chemist supply the medication for the home and also undertake audits and training. Surrey County Council also provide medication training for all staff. The medication recording charts were seen and these are well maintained. Currently there are no service users who self medicate although one service user is learning to sign her own MAR chart in the first stage of self- medication. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 14 Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 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, and 23. Quality in this outcome area is good. Judgement has been made using information available including a visit to the service. The complaints procedure is available to all service users. Systems are in place to safeguard service users from abuse. EVIDENCE: The home has a complaints procedure in place and all service users have access to a copy of this. It is included in the service user guide and also available in picture format. There have been eight complaints since the last inspection. These are all minor issues and have been managed within the service. HD stated that he knew how to make a complaint if he wasn’t happy with something. There is an abuse awareness policy in place and all staff have training on abuse awareness during induction training. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 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, 25, 28, and 30. Quality in this outcome area is good. Judgement has been made using available information including a visit to the service. Service users live in a comfortable, safe, and homely environment. EVIDENCE: A tour of the premises was undertaken and some service users invited the inspector to view their bedrooms. The home is arranged over four units each with it’s own lounge and dining area, kitchen, bathrooms and toilets. The home is well decorated and provides a comfortable and homely environment for the service users living there. Individual bedrooms are personalised to reflect individual personalities hobbies and interests. The home was clean and orderly but the carpets were in need of a hovering. There is a cleaner employed but was on leave the week of the inspection. The home would benefit from a relief cleaner in such circumstances to maintain the communal areas of the home. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 17 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, 34, 35, and 36. Quality in this outcome area is good. Judgement has been made using information available including two visits to the service. The number and skill mix of staff meet the current service users needs. The recruitment procedure in the home protects the service users. EVIDENCE: The staff duty rota was seen and the number of staff on duty was sufficient to meet the current needs of the service users. Agency staff cover the current staff vacancies. The manager stated that interviews had taken place and she was waiting for the relevant documents before prospective staff could start work. HD and CH stated that staff help them when required. The recruitment procedure in place safeguards the service users living in the home. Employment records were seen for AJ, and KH. Both were well maintained and included all the required documents to include two written references, employment history, contract of employment, and CRB (Criminal Records Bureau) Disclosure. The manager stated that service users are also involved in the interview process. Formal staff supervision takes place and this is recorded on staff files. All staff undertake induction training. This is also recorded on staff files. Staff confirmed that they had also undertaken training in first aid, reporting and recording, food hygiene, disability equality, administration of medication, and care values. The manager demonstrated that currently there are four staff with an NVQ level 3, two staff with NVQ level 2, and three undertaking NVQ level 2. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 18 Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 19 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, 39, and 42. Quality in this outcome area is good. Judgement has been made using available evidence including a visit to the service. Service users benefit from a well run home, which promotes their health and welfare. EVIDENCE: The service is managed efficiently with the service users aspirations and expectations a priority. The registered manager is undertaking her RMA (Registered Managers Award) and has several years experience in the provision of care in a managerial role. Three deputy managers, making uptwo full time post, support her. Both deputy managers were observed to be competent and skilled and took an active part in the inspection process. Quality assurance is ongoing in the form of service users meetings. An annual survey is also undertaken and the results are also sent to The Commission for Social Care Inspection. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 20 There is a wide range of health and safety policies and procedures in place and some of these were sampled during the inspection. Staff have training in these procedures during induction training. One agency member of staff confirmed that the agency provides training in health and safety but she is also required to follow the homes procedures. The fire safety records were seen and are well maintained. The last fire risk assessment was undertaken on 04/06/2006. Fire alarms are tested weekly, and all staff receive regular training on fire safety. There is a contract in place for the maintenance of fire fighting equipment. The procedure for the recording accidents in the home is good. Risk assessments are in place for all identified risks, and for safe working practices. Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 21 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 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 22 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. 1 Standard YA33 Regulation 18(1)(a) Requirement The registered person must ensure that a second cleaner is employed to maintain the standard of cleanliness in the home. Timescale for action 30/08/06 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.V299992.R01.S.doc Version 5.2 Page 23 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 © 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 Arundel House DS0000034534.V299992.R01.S.doc Version 5.2 Page 24 - 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. 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