Inspection on 18/10/05 for Arundel House

This inspection was carried out on 18th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Arundel House 08/11/07

Arundel House 24/05/06

Arundel House 05/05/05

Arundel House 19/10/04

Arundel House 12/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Arundel House 117 Torquay Road Paignton Devon TQ3 2SF Lead Inspector Michelle Finniear Unannounced 18 October 2005 th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Arundel House Address 117 Torquay Road, Paignton, Devon, TQ3 2SF 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) 01803 551450 01803 551450 Mrs Anne Morrison Mrs Anne Morrison Care Home 12 Category(ies) of Learning Disability (12) registration, with number of places Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5/05/05 Brief Description of the Service: Arundel is a terraced three-storey building. The property is situated on the level, within easy walking distance of all local facilities and Paignton town centre. The home caters for up to 12 adults with learning difficulties, with or without a physical disability, and to this end the home benefits from the provision of some specifically designed bedrooms, which provide suitable accommodation for wheelchair users. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, which means neither the proprietor or the service users were given notice of the date or timing of the inspection. It took place over 4 ½ hours on a Wednesday afternoon and evening, to ensure that service users could be seen on their return from day activities. To complete the inspection time was spent with the administrator and proprietor of the home, some records were inspected and the rest of the time was spent talking to ten of the service users, individually in their rooms or in the lounge as a group. What the service does well: Arundel House is a comfortable, relaxed and positive environment which has retained the feel of a domestic house as far as possible. Residents spoken to liked the accommodation in which they lived, and had been able to make their rooms very personal to them. All residents have their own rooms, all of which have ensuite facilities, and some of which include lounges as well as bedroom areas. Rooms are bright, airy and well decorated, and rooms for people who use a wheelchair are all on the ground floor. The home is very close to local facilities and services. There is a clear and consistent system for the planning of care, to ensure staff have the information to deliver care to service users in the way in want. Service users commented that the owner was “very good to them” and that they were happy with the level of care and facilities at the home. Service users interacted well, and there was a lot of humour and gentle teasing in evidence. Service users follow full and active lives both inside and outside of the home, which includes taking holidays, social events and for some valued and meaningful work activity. Care of service users with life limiting illnesses was well planned, supportive and focussed on the needs and wishes of the individual concerned, which was commendable. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 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. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 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 standard(s) These standards were not assessed on this occasion. EVIDENCE: These standards were assessed at the previous inspection and discussion indicated that the statement of purpose and service user guide is substantially as it was on that occasion and that no new service users have been admitted to the home since then. Copies of the statement of purpose and service user guide are available in formats suitable to meet the needs of the service users. The statement of purpose and service user guide are important as they inform service users what they can expect from living at the home. This helps them to decide if the home is the right place for them. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 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 standard(s) 6,7,8 Arundel house has a clear and consistent system for the planning of care, to ensure staff have the information to satisfactorily deliver care to service users in the way in which they have indicated they wish it to be delivered. EVIDENCE: Three service user plans were selected and inspected. Service user plans contain assessments of the care each service user needs and their goals, along with plans as to how these are to be addressed. Evidence could be seen in the plans of service users having input into making decisions about their future, and about the content of the plans, which is important in ensuring that service users can have a say in the way in which they wish their lives to be. In some cases relatives or other advocates are involved as well, where the service user would need support in making decisions independently. Plans are being reviewed regularly, in one instance within the last week. Another plan was related to the service user concerned and found to be an accurate reflection of their needs and current health issues. Plans are important in ensuring that care can be given consistently. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 10 The home has service user meetings where service users are encouraged to discuss issues relating to the home. Minutes are kept of these meetings, which is important in ensuring that meetings are valued. Service users can then refer back to them and see what action has been taken as a result. Regular questionnaires are used to enable service users to comment on the home and identify areas of potential dis-satisfaction. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15 Arundel House offers service users opportunities to lead active and fulfilled lives. EVIDENCE: Service users were able to discuss the opportunities for work place activity and leisure time they experience. Of the service users spoken to one was attending College for IT skills, two had jobs and others attended day placements at local specialist day resources. This included one service user with severe health problems requiring continuous oxygen therapy, which demonstrates that every effort is made to find purposeful activity for service users even where there are extreme difficulties. Service users are supported to take part in the local community life. This includes through support of shops, hairdressers and other services. The home has a vehicle for use in transporting service users where they wish. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 12 On the day of the inspection no service users were planning to take part in activities outside of the home during the evening, and many changed into nightwear after 6pm. One service user when asked about this indicated that this was because they wished to “relax and unwind”, however this also appeared to be the general practice for most service users. Some service users also confirmed that they did not have a regular involvement in doing their own laundry or assisting in the cooking of meals at the home, although none expressed a wish to do so. Developing independent living skills can be important for many people with learning disabilities. During the course of the inspection one service user was attending a week long course which covered areas such as assertiveness, change management and an understanding of their impacts on others, which they were enjoying. Leisure activities seen included listening to music, talking and watching videos/television. Service users have items of personal electrical equipment as they wish which included in one case an ipod, television, computer and DVD player in their room. Service users were able to discuss recent holidays they have taken, both abroad and in the UK. Two service users were due to go away for a holiday in Wales in the week following the inspection. Service users could also describe visits to or from their family, and one service user was being taken to visit their mother in hospital a few days after the inspection. This indicates that service users are encouraged to maintain links with family and friends, and take part in activities of their choosing. Service users rooms are lockable, so that they can maintain their privacy if wished. For one service user prone to severe epileptic seizures and requiring oxygen therapy a monitoring device is in use to maintain their safety. The evening meal being served was Lentil soup, cottage pie and fruit and jelly, which was enjoyed by all service users spoken to. Service users confirmed that the meals served were of a high quality and met their personal tastes and preferences. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 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 standard(s) 18, 21 Support, including palliative care, is given in accordance with service user wishes. EVIDENCE: Service users preferences are recorded in relation to the care they receive, for example when they like to be woken, how they like assistance to be given when bathing etc. Discussion was held with the proprietor in relation to work being undertaken to assess the views of service users with a severe and deteriorating medical condition which is life limiting. Specialist support has been sought for a service user to assist them in understanding the choices available to them in relation to conservative or active treatment, and other support is being sought for the staff group. Consultation is also being held with relevant professionals and the service users relatives. This is commendable practice, ensuring that decisions regarding palliative care are made in advance of a potential crisis, and ensuring that the service user remains at the centre of the decision making. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 14 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 standard(s) These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion, however it is understood that no complaints have been received and the home has purchased a new training package on the protection of vulnerable adults. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24 Arundel house provides a comfortable, homely and safe environment for service users and their visitors. EVIDENCE: A tour of some of the premises evidenced that the accommodation provided is of a high standard with rooms which are bright, cheerful, airy and clean. The lounge and a first floor shower room have recently been refurbished meaning service users will all have access to specialist bathing facilities. All bedrooms seen had ensuite facilities, and some have an integral lounge area, making bed-sitting rooms, which was commendable. All areas seen were of a good decorative standard, and were clean, warm and comfortable. Service users seen confirmed their rooms were as they wished them to be, and that they were consulted on changes in décor throughout the home. This helps service users feel the home is ‘their home’. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 16 The environmental health officer has visited since the last inspection, and had no requirements to make according to the provider. This demonstrated that the home is hygienic and clean. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 Service users are supported by well trained staff in sufficient numbers to meet their needs. EVIDENCE: At the commencement of this unannounced inspection there were three staff on duty, plus the owner and the administrator in the home. Later in the evening there were two staff, with two waking and one sleeping member on at night. Discussions were held with the proprietor in relation to this, which may be reviewed in the future. Three staff files were inspected for newly appointed staff which were found to contain the required information in relation to their appointment, including interview forms, references, criminal records bureau checks and medical information. A thorough recruitment process helps to ensure that service users are cared for only by people who are suitable to work with vulnerable adults. Each member of staff receives a comprehensive induction and foundation inhouse training package, which the provider stated is comparable to National training Organisation training targets. Evidence could be seen in one individual staff members’ file of progress being made with this documentation, which will ensure staff understand their role and the work they are expected to carry out, Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 18 so protecting service users. A member of staff recruited since the last inspection has undertaken training in Infection control, food hygiene and handling, moving and handling, fore, first aid and the administration of specialist medication for service users with epilepsy, as well as the induction and foundation training as above. Staff were practised in interpreting and supporting the communication of service users, which ensures effective two way communication. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 The registered manager/proprietor is qualified and very experienced in running a care home. EVIDENCE: The proprietor has completed her Registered manager award, and the administrator has commenced the same award. The registered managers award is a new qualification specifically related to the running of a care home. In addition the proprietor, who is also the registered manager, has many years of experience of running care homes for people with a learning disability, and the administrator has grown up in an environment where service users with a learning disability were being supported. This means that service users should benefit from a consistent and well managed service, with a management who really understand their needs and goals. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Arundel House Score 3 x x 4 Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 21 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 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. 1. 2. Refer to Standard YA16 YA11 Good Practice Recommendations The home should consult with service users to ensure that they are following thir own decisions in choosing to get ready for bed so early in the evening Opportunities for service users to participate in and develop new living skills should be encouraged. Arundel House D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 D54-D07 S18318 Arundel House V258662 181005 Stage 4.doc Version 1.40 Page 23 - 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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