Inspection on 08/11/07 for Arundel House

This inspection was carried out on 8th November 2007.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Arundel House 24/05/06

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 Unannounced Inspection 8th November 2007 10:00a Arundel House DS0000018318.V351213.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 DS0000018318.V351213.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 DS0000018318.V351213.R01.S.doc Version 5.2 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.V351213.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th May 2006 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.V351213.R01.S.doc Version 5.2 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 inspection visit in 2006. To help CSCI make decisions about what it is like to live at Arundel house the owners gave us information in writing about how the home is run; documents submitted since the last inspection were looked at along with the records of what was found at the last inspection; two site visits totalling 10 hours were carried out without the home being told when we were coming for the first visit; Discussions were held with the owner and staff on duty; records were sampled, such as accident and medication records; questionnaires were sent to people who live at the home; and we looked at all the rooms. The second visit was carried out by an inspector and an expert by experience with their supporter. An ‘expert by experience’ is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. This person spent time with the people in the home over a mealtime and in the early evening, looking at choices they can make and how they are supported to lead their lives. They wrote a report following the inspection and this has been included in this report. This approach hopes to gather as much information about what the experience of living at the home is really like, and make sure that the views of people living at the home form the basis of this report. An easy read version of this report summary has been produced. What the service does well: Arundel House is a comfortable environment which has retained the feel of a domestic house as far as possible. People spoken to liked the accommodation in which they lived, and had been able to make their rooms very personal to them during the recent renovations. All people living at the home have their own rooms with the exception of two people who have shared for many years, and rooms have en-suite facilities. Some rooms have 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, such as shops and buses. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 6 Each person has a care plan, to ensure staff have the information to deliver care to people in the way they want. People can 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. There is good access to local advocacy groups. Although people living at the home 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. People supported each other well, and had good relationships both in and outside of the home. Comments from people living at the home included: • • • • • “I go to work and catch the bus there and back” “My boyfriend comes over quite a lot and we spend a lot of time together in my room and he stays for dinner.” “We go on holidays and look on the internet to decide where to go.” “We have resident meetings once a month. These are run by staff.” “I used to do some cooking and help but I am too tired when I get in from work so I haven’t done any for ages.” What has improved since the last inspection? Since the last inspection the home has: Reviewed and updated the admission process. This helps to ensure that people who come to live at the home receive full information about the home before they make a decision and that the homes staff know they can support them properly. Increased training for staff, so that they can support people in the best way. Bought a medication refrigerator, so that medication can be kept cold when needed. Improved access to information on healthcare, so people working at the home can understand peoples healthcare needs better. Updated the complaints procedures and made sure people living at the home know what to do if they are unhappy about something Redecorated the home, so that people live in attractive surroundings that they have been involved in choosing. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 7 Fitted window restrictors and improved the fire safety equipment, so that people can live at the home safely. 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. The summary of this inspection report can be made available in other formats on request. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 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.V351213.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. Quality in this outcome area is good. People are fully assessed before being admitted to the home, and receive information to help them decide if the home is the right place for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a statement of purpose and a service user guide which are in each persons room and are given out to people who are thinking about moving in. These documents contain information about the services the home can provide and what people can expect to receive for their money. They also contain a copy of the homes terms and conditions which explain people’s rights, and periods of notice required if people wanted to leave. This information helps people make a decision about whether the home is the right place for them, however some of it may not be available in a format that each person can understand. The homes manager plans to make this happen in the next year. Records were seen for the last person admitted to the home, and the homes policies on admission were discussed. A long introduction process had been followed, where the person and their social worker had visited the home many times and stayed over before they made any decision about moving in. They were also invited to attend social activities at the home to help them build up Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 10 friendships. This helps people get a good feel for what living at the home would be like. Good records had been kept of each visit to help the home make decisions about the support the person needed. A full assessment was also completed with the person themselves and their support network, so that everyone’s views could be taken into account. This has helped staff identify the support the person needs and how they would like that support to be given. When a decision was made the person’s room was decorated in colours of their choice and refurnished to suit their needs. This helps people feel to at home when they move in. People living at the home who completed questionnaires said that they had received information about the home before they came to live there. Most said they had been to visit before making a decision. One said “I visited and stayed for the day before I moved in properly”. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9. Quality in this outcome area is good. Peoples care needs are planned for and supported. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans and assessments were seen for four people living at the home. The plans were based on clear assessments and had been regularly reviewed. Plans contained information on people’s communication needs and daily write ups on activities people have been supported to carry out. Some plans are now available in a more person centred format, which means the information on the persons needs and wishes is contained in a format that is meaningful to them. As an example for one seen this included easy read text and photographs to support the words. They also mean that the plan has the person as the prime focus. People are supported to make decisions in their lives wherever possible. Information supplied by the home prior to the inspection stated that people Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 12 have been involved in choosing the décor in the recent refurbishment programme and this was supported verbally in discussions with the inspection team by people living at the home. However two other people spoken to said that they had been chosen by the manager. Discussions were held with people on other choices such as increasing their own independence within the home and in their daily lives. People confirmed that the home has regular House meetings where people can have a say in the way the home was run. They also spend time with their key workers setting goals and making plans to achieve new skills. Minutes are kept of these meetings, which is important in ensuring that meetings are valued. People living at the home can then refer back to them and see what action has been taken as a result. These meetings are currently chaired by a member of staff, but people who live at the home are involved in drawing up the agenda, and the home has plans to encourage people living at the home to run these meetings themselves. Regular questionnaires are used to enable people to comment on the home and identify areas of potential dissatisfaction. Risk assessments are undertaken for activities outside of the home and there are protocols for the management of health conditions such as epilepsy both inside and outside of the home. This helps to ensure staff have a clear set of instructions on what to do in an emergency. 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 ill effects. People receive support where needed to increase their independence for example with the management of money. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People living at the home have opportunities to lead active and interesting lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living at the home vary considerably in their needs for support, but each person had opportunities to attend day services or follow activities from the home. An enabler has been employed for two people who live at the home and do not attend day services, and this gives them specific time to be supported in activities of their choice outside of the home. These activities are led by the people themselves and include shopping, pub lunches, trips out etc. Other people seen were keen to discuss their work placements and relationships outside of the home which are supported wherever possible. The owner has been attempting to access more funding to support more community access, but success has been limited, which does mean that sometimes opportunities are not available. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 14 The expert by experience wrote “I had dinner with the residents. The food was very nice. We were all given a choice of food and drink. The staff listened to the residents and put them first. But the staff did not ask if they had finished their meal and just took the plate away. I did notice that they didn’t eat with us but that may have been because there wasn’t enough room. Dinner was served early but I was told this was because residents go out in the evening. I did not know which residents were going. I wondered how this was possible unless they were going out independently as there was only 2 staff on in the evening. The residents were very chatty and seemed to enjoy talking to me. I asked them about their lives, choices they had and any routines and restrictions that were in the home. I thought staff communicated with the residents very well. From what I saw the staff seemed to know what the residents wanted. The residents varied in their abilities. They all seemed to get on well and were not disturbed by one resident that shouted quite a lot. They seemed to understand and respect each other.” People have links to local advocacy groups, such as “Speaking out in Torbay”. People who completed questionnaires said “I enjoy the discos and the Saturday night residents social evenings and trips out”. “We go out for outings and we have parties at Christmas with a Disco and magician or a show”. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. People receive the support they need to manage their healthcare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Some people who live at Arundel House are very independent and are supported to make decisions about their own healthcare. Other people need much more support for example with managing medication or planning for routine or emergency healthcare. Evidence could be seen in people’s files on routine preventative healthcare such as screening clinics and routine hospital appointments. Files also contained evidence of protocols or instructions for staff on what to do in a particular emergency for each person with a specific need. For example for some people this might include the steps to take if the person had a series of epileptic seizures. This helps to ensure that everyone is aware of what to do in a critical emergency. Many of these procedures have been drawn up with the person and/or their relatives, social workers of healthcare professionals. Discussion was held on reviewing one of these procedures to make sure that it is still currently applicable and complies with new legislation. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 16 A review was held of the homes medication systems on the site visit, which were being managed well. 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. The home did not have risk assessments for people who look after their own medication. but had safe arrangements for when people had to take medication with them when going to day centres or work placements. The home has a medication refrigerator for medication that needs to be kept at certain temperatures and no controlled drugs are kept at present. Controlled drugs are those that need special care due to their strength or effects. Information is available for staff on particular medications, and discussions with a member of staff who deals with medications showed that they had a clear idea of the medications in use and what they were for. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. Arundel house has a clear complaints system, which ensures people have opportunities to air their views. Arrangements for protecting people from abuse and neglect are satisfactory. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the last year one anonymous complaint was received about the home, in relation to staff starting work before all employment checks had been carried out. This was investigated by the home who provided full evidence to show that this had not been the case. The home has a complaints policy and procedure, which has been given to each person and is available for reference in the homes hallway. This means people can access this at any time. Questionnaires completed by the people living at the home confirmed that they were clear as to who they would go to if they had any concerns or worries, and most said the would go to Anne, who is the owner/manager. People spoken to on the site visit also confirmed this. People living at the home also confirmed that many of them now have their own personal mobile phones and could call someone outside the home if they were worried. Adult protection training has been given to staff, and this could be seen in staff records and also in their completed questionnaires. The home has a full policy and procedure for adult protection including information on Service user rights Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 18 and a whistle-blowing policy. People living at the home also have access to local advocacy groups and advice, and one person living at the home is on a local advocacy committee. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 19 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. 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 environment to live and work in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the second site visit a tour was made of all areas of the home, looking at cleanliness, décor and the way in which people have been able to make their rooms individual and personal to them. Some people also showed their rooms individually Since the last inspection the home has been extensively refurbished and this has included most of the bedrooms. People had some say in the way their bedrooms were decorated. Bedrooms have en-suite facilities, and some had an integral lounge area, making bed-sitting rooms, which was commendable. This all helps to ensure that people live in an attractive environment. Peoples bedrooms have locks fitted to which some have keys, so they can choose to maintain their privacy if they wish. One room had a slide bolt fitted, Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 20 which the owner confirmed had been a temporary measure and would be removed. Some people had locked their rooms when they were out for the day, but staff have a master key. People confirmed that staff knocked on their doors before coming in and respected their privacy. Rooms seen were personalised and individual reflecting peoples interests and tastes. Family photos and pictures of activities undertaken were also on show. An audible system is in use for Epilepsy monitoring at night. The owner confirmed this is the only time this is used. This helps to ensure peoples privacy. Specialist equipment is available as needed, including a specialist bath, hand rails, shower seats, raised toilet seats and magnetic door opening devices. Some rooms on the ground floor would be suitable for people with some level of disability, however they would not be able to access the first floor as there is no lift currently. In future this may be provided. There is a laundry to the rear of the home, with machines capable of achieving a sluicing cycle, tumble dryers and clinical waste bins. Staff receive information on Infection control in their introductory staff pack, and are advised on taking up a Hepatitis B vaccination, evidence of which was seen in staff employment packs. Aprons and gloves are available, along with anti-bacterial hand washes and gels. This helps to protect both people living at the home and staff from risks from infections. The expert by experience said “It was a nice clean and tidy house. I saw 3 residents bedrooms and thought they were nice and big with bathrooms. They had their own pictures on the walls and had their own personal belongings in them. They were in the middle of decorating them and the residents could choose the furnishings they wanted. There was a big lounge and the residents I saw in there looked relaxed and comfortable.” People who completed questionnaires said that the home was a nice place to live. One wrote ” The home is always clean and tidy”. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36. Quality in this outcome area is good. Staffing arrangements meet the needs of the people at the home and help protect them from being cared for by people who are unsuitable to work with vulnerable adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the first site visit time was spent looking at the recruitment and employment practices at the home and also the training that staff receive to help them do their jobs. This was verified through looking at staff files, information in staff questionnaires received and observation of part of a recruitment process in progress. Two staff files were selected to be looked at on the site visit, and both contained the required information on how people were employed. This included references and criminal records bureau checks. Staff confirmed in their questionnaires that these had been taken up before they could start working at the home. These checks help to make sure that people employed are suitable to be working with potentially vulnerable people. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 22 As a part of the recruitment process potential new staff are encouraged to spend time with people who live at the home, who also have some involvement in staff interviews. Files also showed evidence of staff training. Staff receive core training in first aid, food hygiene, infection control and moving and handling practices. They also receive additional training in specific areas of caring for people with learning disabilities. Some staff are also undertaking NVQ qualifications, which are a national award reflecting the level of competency in their job role. Good training should help to ensure that staff are all working in the same way to support people. Staff at the home also receive supervision from the senior staff every eight weeks. This is a system that helps staff to work consistently and in a way that best supports people at the home. A new system of observation of practice in key areas is also being introduced, which will help to identify how staff are working in practice. There are regular staff meetings and the home has a series of training videos and packs available so that staff do not have to wait for essential training or refresher courses. These have a component that is externally validated. People living at the home said that the staff were very kind and looked after them well. Staff who completed questionnaires said they felt well supported in their job role and that the home “Provides first class all round care and support for service users”. Others said ”The staff work well as a team and we are always kept up to date with training”, and “The service users are taken out by their key workers and other staff. They are fed good healthy meals daily. The home is always kept clean, tidy and well presented. The clients have built up friendships with the staff and each other”. Some people living at the home felt that they were at times unable to do things they wanted as staff were not available to support them in activities outside of the home. The manager is trying to gain additional funding to support this. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. The home is being well managed. This judgement has been made using available evidence including a visit to this service. 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. 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, which is comprehensive, involving regular audit, and questionnaires to people living at the home, relatives and interested parties such as visiting professionals. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 24 Results from the information gathered are compiled to provide a report which leads to an annual development plan for the home. At the time of the inspection the home has a business plan and separate plan in an accessible format still to complete following a recent round of questionnaires. 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. The manager confirmed that all windows now have restricted openings. These all help to ensure that people living and working at the home are kept free from foreseeable risks to their health and welfare. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 25 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 3 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 3 27 3 28 3 29 3 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 3 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 x 3 x 4 x x 3 x Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 26 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. YA33 Standard Regulation 18 Requirement Timescale for action 20/12/07 2. YA24 23 Staffing arrangements must be regularly reviewed to make sure that people living at the home can follow activities of their choice The leak to the conservatory roof 20/12/07 must be repaired. 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. 3. 4. Refer to Standard YA20 YA24 YA8 YA8 Good Practice Recommendations Risk assessments should be provided for people who wish to take care of their own medication. The slide bolt fitted to a door should be removed. People should be helped to be more involved in the running of the home. This could be helped with additional information being made accessible to them. The home should continue with their plans to support people living at the home to chair their own house meetings. Arundel House DS0000018318.V351213.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000018318.V351213.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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