Inspection on 24/05/06 for Arundel House

This inspection was carried out on 24th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 08/11/07

Arundel House 18/10/05

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 Arundel House 117 Torquay Road Paignton Devon TQ3 2SF Lead Inspector Michelle Finniear 24th May 2006 11:00 Arundel House DS0000018318.V289429.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 Arundel House DS0000018318.V289429.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. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Arundel House Address Arundel House 117 Torquay Road Paignton Devon TQ3 2SF 01803 551450 01803 551450 arundel@boltblue.com 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) Mrs Anne Morrison Mrs Anne Morrison Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18/10/05 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. Fees range from £306 - £ 1612 per week. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is a summary of a cycle of Inspection activity at Arundel House since the last visit in October 2005. To help make us make decisions about what life is like at the home, the home the owner completed a document about the running of the home; questionnaires were sent to service users; documents and letters submitted since the last inspection were examined along with the findings of the last inspection report; an initial site visit of 6 ½ hours was carried out (with no prior notice being given to the home as to the date and time); A second site visit of 2 ½ hours was also undertaken to discuss the homes management systems; discussions were held with the staff on duty; various records were sampled, such as accident books and medication records; and a tour was made of all areas of the home and garden. Time was also spent in private or in groups with the people who live at the home, talking about their lives and what they think about living at the home. In addition a sample group of service users were selected and their experience of care was ‘tracked’ through records and discussions with staff and management from the early days of their admission to the current date – looking at how well the home understands and meets their needs, and the opportunities and lifestyle they experience. These service users were interviewed, and discussions were held with staff about how their care was delivered. Questionnaires were sent, with their permission to their relatives, general practitioners and care managers where appropriate. This approach hopes to gather as much information as possible about what the experience of living at the home is really like. 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 with the exception of two ladies who have shared for many years, and all rooms have en-suite facilities. Some of which include lounge areas making bed sitting rooms. Rooms are bright, airy and well decorated, and rooms for people who use a wheelchair are all on the ground floor. There is no lift to the upper floors. 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. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 6 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. Although service users vary considerably in their needs from some who are very dependant on staff physically to others who work independently in supported employment there was a good sense of community. One relative commented “I can only pay tribute to the staff and management ….. for their standard of care and their constant referral to us”. Another said “we are so grateful for the peace of mind”. What has improved since the last inspection? What they could do better: The home manager should undertake an updated risk assessment of the window restriction and take any relevant action required. This is to protect service users from any risks of falling from windows above the ground floor. Staff updates in adult protection training should be undertaken. This is so that all staff are reminded of the procedures to follow. The criminal records bureau check obtained under previous guidance must now be updated. This is so that criminal records checks are up to date, and completed during this employment. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 7 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 DS0000018318.V289429.R01.S.doc Version 5.1 Page 8 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 DS0000018318.V289429.R01.S.doc Version 5.1 Page 9 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, 5 Quality in this outcome area is good. Service users and their supporters receive enough information about the home to enable them to make a decision about whether the home is the right place for them and whether the home is able to meet their needs. EVIDENCE: The home has a service user guide and statement of purpose. These provide information about the running of the home, in the case of the service user guide in a more simplified and accessible format. A copy of this guide has been given to each service user and is available in the hallway of the home. Information contained within the service user guide may be useful to potential service users wanting to know if the home would be suitable to meet their needs. The home has a pre-admission process, which ensures that a full assessment is undertaken on each service user to ensure that the home is able to meet their needs both now and in the future. Service users have opportunities to visit the home for a trial period to ensure that they are aware of what is on offer, that they like the accommodation available, and feel they will be able to get on with other service users who already live at the home. Staff at the home confirmed the process that had been followed for the most recent admission, and that this process had included these trial visits, and a full process of consultation, which had included current service users. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 10 Six service users also completed questionnaires either independently, or with the support of family or friends. These questionnaires indicated that they had been consulted about whether they wished to move to the home and live there. One relative commented that the service users body language during the trial periods and had told them what they needed to know. In one instance the final decisions had been made by the relatives, in conjunction with the care manager and the homeowner as the service user was unable to express their wishes further. Discussions with two other service users indicated how they had chosen to live at the home several years ago. On the second visit another file for the most recent admission was seen. This file demonstrated that there was a thorough pre-admission process followed, with up to 15 meetings and visits held before a decision was made that this was the right home for the service user to move to. A first draft of the care plan was completed with staff from another unit who had knowledge of the service user, so that all aspects of their care could be assessed fully. Contracts were seen which detail the fees paid by or on behalf of the service user for their care, and what service users can expect to receive for their money. This is important in ensuring that everyone understands what they are entitled to receive. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 11 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, 9 Quality in this outcome area was good. Service users care is well planned, and care needs are addressed. EVIDENCE: Three service user plans were selected and inspected in depth on the first site visit, with others being randomly checked. Each service user at Arundel House has an individualised Service user plan, which contains 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, and the home is currently working on developing person centred plans, which puts the person receiving the care at the heart of the plan. Additional staff hours and training have been allocated to Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 12 ensure this is achieved. The new plans will include photographs and records of achievements, giving a positive focus. Plans are important in ensuring that care can be given consistently, and discussions with staff on duty on the first site visit demonstrated that they were clear as to how the plan translated into reality for each service user. In addition time was spent with one staff member detailing the care delivered to one of the service users who was ‘case tracked’. This was then related to the individuals care plan and also to the service user and the care observed being delivered. Care was in accordance with the service user plan, which demonstrated that the care plans are a reflection of the care actually being delivered. Plans seen include assessments of risk, for example service users taking part in activities unaccompanied. Risk assessments can be a tool for ensuring that service users experience maximum opportunities to develop and have new experiences, without being subject to undue risks. 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 DS0000018318.V289429.R01.S.doc Version 5.1 Page 13 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, 14, 15, 16, 17 Quality in these outcome areas was good. Service users have opportunities to take part in local activities and participate in the local community. EVIDENCE: Many service users at Arundel House take part in structured day opportunities outside of the home. This includes working at other local homes, having work experience in a local florists, attendance at local centres for Adults with learning disabilities and college placements. However these placement opportunities are not available to all service users and eligibility criteria may mean that some service users can no longer attend this type of facility. For the service users still at home on the day of the site visit, one service user had been swimming with a family member, others had been engaged in tidying their rooms and other domestic activities, going shopping or watching videos in their room. Service users have access to local advocacy information and one service user is very active in a local advocacy group –“Speaking out in Torbay”. This group Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 14 meets regularly to discuss issues such as access to transportation, keeping safe etc. and is a real focus for this service user. Staff spoken to on the site visit expressed interest in working with service users towards achieving greater independence. Discussions with a service user on the first visit indicated for example that they wished to learn how to deal with their own money. This had previously been identified in discussions with a key worker. A person centred plan was in the process of being prepared for this service user which would examine areas such as independence and support required to meet both the service user wishes and enable them to develop greater autonomy in this area. Another example was a discussion held on how service users choose where they go on holiday. Two service users also expressed an interest in moving into living independently in a flat together. Person centred plans will help both the home and service users clarify and work towards these goals. Evidence could be seen on the site visits of service users expressing their hobbies and interests. One service user confirmed she had chosen the décor in her bedroom, and kept it clean and tidy herself. The room was personalised with items of significance to her, photographs and television/electrical goods so that she could choose to watch on television what she wanted. Service users have opportunities to use local facilities available to everyone in the community regardless of their disability or difference. Service users use local shops, hairdressers, transport, cafes and restaurants with varying degrees of independence, and staff spoken to were clear about service users right to do so. Personal relationships are encouraged and service users are free to make friends, take part in local clubs and see family whenever they wish. Family member who completed surveys on behalf of service users and service users who answered independently indicated that they were always or usually free to make decisions about what they did each day. One commented they would like more outdoor activities, another said that the home was “a pleasure to visit” and that they had become fond of all the service users there “like a large family”. The lunchtime and evening meal were seen during the course of the first site visit. Several service users described themselves as being “on a diet” as they needed to lose weight, and so had a salad for tea with fresh fruit for dessert. Others had a cooked meal. Service users were not involved in meal preparation on this occasion, but did help laying and clearing tables. Discussion was held with the homes management over an issue related to the Mobility component of the Disability Living Allowance, which is not always held by the service user but maintained on their behalf by a third party. This means that service users do not always have access to the full funds granted to them Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 15 and through no fault of the home has led to problems accessing transportation or funding for community activities. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 16 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, 20, 21 Quality in these outcome areas was good. Service users receive the support they need to manage their healthcare needs. EVIDENCE: Evidence such as appointment cards and medical reports was available in service user files to demonstrate that service users are supported to access their health care needs. This includes for example support in attending general practitioner appointments, hospital appointments for epilepsy or cardiac management and routine screenings. Service user assessments and reviews undertaken by the home include regular assessments of health. The local general practitioners commented favourably on the home and their abilities to care for service users and make good use of healthcare resources. This was confirmed in discussion with staff and two service users. One service user has severe health problems that has led to them needing a continuous Oxygen supply through a nasal catheter. Staff were observed managing this appropriately, and both discussions with staff and staff training files seen on the second visit indicated that they had been trained in the administration of Oxygen. Service users spoken to agreed that they were supported in accessing NHS dentists, doctors and opticians and a private chiropodist visits. This confirms that their healthcare needs are well met. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 17 Discussion was held with staff on the policy for end of life care for one service user. Staff were clear about the protocols agreed by the service users family, the homes management and medical staff, and discussion was held on staff views on this. On the first site visit the homes medication systems were seen. The home uses a monitored dosage system, which means that service users medication is packaged in a blister pack system by the supplying pharmacist. This reduces the risks of the wrong medication being given and enables staff to quickly check how much medication is left. Discussions with the staff member demonstrating the medication systems showed that they had a good understanding of the medications in use and of what they were for. Staff have received training in the administration of specialist medication to control epilepsy. No service users fully control their own medication, and medication taken to day centres is handed to staff by service users on arrival. This helps to demonstrate that the medication systems are safe and well maintained. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 18 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 The quality in this outcome area was good. Arundel house has a clear complaints system which ensures service users have opportunities to air their views. Arrangements for protecting service users from abuse and neglect are satisfactory. EVIDENCE: No complaints have been received by the home since the last inspection. Questionnaires completed by the service users and their relatives indicated that they were clear as to who they would go to if they had any concerns or worries. One indicated that the service user would not be able to do so, but would make their concerns known through their behaviour. This was confirmed in discussions with staff on duty, who could discuss how they would attempt to interpret the concerns. This helps to show that staff are aware of the use of service users behaviour as a method of communication. The home has a complaints policy and procedure, which has been given to each service user and is available for reference in the homes hallway. This means people can access this at any time. Adult protection training has been given to staff in relation to the homes own policy which is linked to the locally issued alerters guidance. Staff training records evidenced an understanding of the issues involved in Adult protection and the home has a full policy and procedure for adult protection including information on Service user rights and a whistle-blowing policy. Not all staff who completed questionnaires confirmed they were aware of adult protection procedures in place, so an update would be beneficial to ensure all service users are cared for by staff who are aware of current practice. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 19 Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 20 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, 27, 28, 29, 30 Quality in this outcome area is good. Arundel house provides a comfortable, homely and safe environment for service users and their visitors. The overall quality of furnishings and fittings is of a high standard. EVIDENCE: A tour of the premises showed that the accommodation in is provided to a good standard, with rooms which are bright, well decorated and cheerful. One service user spoken to confirmed that they kept their own room tidy and had chosen the colours and decor. At the time of the inspection one first floor shower room is still in the process of having an assisted bath fitted, meaning service users will all have access to specialist bathing facilities when this is finally finished. Most bedrooms had en-suite facilities, and some had an integral lounge area, making bed-sitting rooms, which was commendable. Staff commented favourably on the cleanliness of the environment, and a linen cupboard seen had been immaculately kept. This all helps to ensure that service users live in an attractive environment. Service users bedrooms have locks fitted to which some have keys, so they can choose to maintain their privacy if they wish. Some had locked their rooms when they were out for the day, but staff have a master key. Rooms seen were Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 21 personalised and individual reflecting service users recorded interests and tastes. Specialist equipment is available as needed, and was seen to include specialist bathing facilities, rails, shower seats, raised toilet seats and magnetic door opening devices. Some rooms on the ground floor would be suitable for service users with some level of disability, however they would not be able to access the first floor as there is no lift. A laundry is provided, with machines capable of achieving a sluicing cycle, tumble dryers and provision for the disposal of clinical waste. Staff receive information on Infection control in their introductory staff pack, and are advised on taking up a Hepatitus B vaccination, evidence of which was seen in staff employment packs. This helps to protect both service users and staff from risks from infections. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 22 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, 36 Quality in this outcome area is good. Staff are well trained and suitable to work with vulnerable people. EVIDENCE: Three staff files were selected at random for inspection on the second site visit. Files contained all the required information in relation to the recruitment and selection of staff, however the homes manager was advised to renew one staff CRB check as it had been undertaken by a previous employer. It is acknowledged that this had occurred prior to current guidance. Systems for recruitment support equal opportunities and the home has a statement on equal opportunities in practice in the home. Pre employment checks, including a recent criminal records bureau check are important as they help to ensure that service users are being cared for by people who are suitable to be caring for vulnerable adults. On the second visit examination was also made of the training files for staff. Files contained evidence of a lengthy induction process, core training –such as first aid, food hygiene and moving and handling – and service user specific training such as training for managing epilepsy. Five staff members were spoken to on the site visits, in groups or in private. Eight staff members also completed questionnaires about their employment and experiences at the home. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 23 Discussion was held with staff on a number of care issues, including the protection of vulnerable adults and ‘whistle blowing’ policies and procedures. Staff seen had a good understanding about care issues at the home and the needs and communication needs of service users. Some staff questionnaires indicated a wish for additional support and induction in the clients needs and for more individual support in dealing with clients whose needs were challenging. Several also expressed a view that they wished to spend more time individually with service users in activities and developing their independence. This was discussed with the homes management on the second visit. Staff also complimented the home on it’s cleanliness and the way in which care plans were thorough and regularly updated. Staff receive regular supervision, which is a system for staff development and appraisal, and currently 3 staff are undertaking NVQ’s. The NVQ is a nationally accepted standard for assessing the competency of staff in their working practice. Having staff who have achieved an NVQ as well as the homes own induction and foundation courses should mean that service users are cared for by staff who fully understand their needs. Discussion was held with a member of staff on equality issues and models of disability which helped to clarify staff understanding of diversity issues. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 24 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, 42 Quality in this outcome area was good. Arundel House is well managed. EVIDENCE: The proprietor has completed her Registered manager award, and the administrator has commenced the same award. The registered managers award is a 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 has a full Quality assurance programme, currently on it’s third cycle. The programme is comprehensive, involving regular audit, and questionnaires to service users, relatives and interested parties such as visiting Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 25 professionals and services. Results from the information gathered are compiled to provide a report which leads to an annual development plan for the home. The last cycle gathered considerable information which could be seen to have affected developments at the home There are comprehensive systems for the management of health and safety at the home. The policy and procedure manual for the home was seen, along with evidence of risk assessments of the environment, such as the fire precautions risk assessment. A full wiring check was recently undertaken, and the home has had a full inspection for asbestos. Policies and procedures seen were all satisfactory and up to date. Staff receive training in health and safety practices. Water temperatures are restricted, and hot surfaces seen were protected. Some windows although having high openings were not restricted. Appropriate arrangements are made for the disposal of clinical waste. Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 26 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 x 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 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 x 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 x 4 x x 3 x Arundel House DS0000018318.V289429.R01.S.doc Version 5.1 Page 27 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 YA34 Regulation 19 Requirement The criminal records bureau check obtained under previous guidance must now be updated. Timescale for action 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA42 YA23 Good Practice Recommendations The home manager should undertake an updated risk assessment of the window restriction and take any relevant action required. Staff updates in adult protection training should be undertaken. 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