Random inspection report
Care homes for older people
Name: Address: Arundel Lodge 1 Station Road Wesham Kirkham Lancashire PR4 3AA one star adequate service 09/06/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Susan Dale Date: 1 4 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Arundel Lodge 1 Station Road Wesham Kirkham Lancashire PR4 3AA 01772686343 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Hexagon Healthcare (UK) Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 22 Number of places (if applicable): Under 65 Over 65 20 2 dementia old age, not falling within any other category Conditions of registration: 0 0 The registered person may provide the following categories of service only. Care home only - code PC, to service users of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Old age not falling within any other category - Code OP.(maximum number of places: 2) Dementia over 65 years of age - Code DE (E) (maximum number of places: 20) The maximum number of service users who can be accommodated is: 22 Date of last inspection 0 9 0 6 2 0 0 9 Care Homes for Older People Page 2 of 10 Brief description of the care home Arundel Lodge is registered with the Care Quality Commission to provide personal care for 20 older persons within the category of Dementia and 2 persons within the category of Old Age (OP). The home is situated on the main road in a residential area of Kirkham and is within easy reach of community resources and facilities and is located on a bus route. Accommodation is arranged over three floors. There are fourteen single and four double bedrooms. There is a passenger lift to each floor of the home, and ramped access to the garden and patio area enabling access throughout the home. Information about Fees can be obtained from the acting manager of the home. Care Homes for Older People Page 3 of 10 What we found:
There have been no applications for the post of manager and the directors are now looking outside the geographical area of the home. One of the managers from another home owned by Hexagon is overseeing the management of the home and attends Arundel one day a week. One of the directors is present at Arundel on a daily basis and can be contacted by staff. There are concerns about the safety of the building, the general environment and the outside area. A tour of the home took place and one of the unused bedrooms has a ceiling that has caved in and a bucket is in place to catch rain water. On the outside of the building there is a bulge in the wall and cracks in the rendering. According to the directors, a roofer has examined the roof and a verbal quote had been provided, they were still in the process of obtaining further quotes. The outside area has uneven crazy paving that does not allow the persons being cared for to access the garden safely. The general appearance of the home from the outside is that it has been neglected. The directors stated that an employee had been given instructions to tidy the garden but that the bushes and shrubs had grown again following all the rain. There was an intention to purchase a sign to be hung outside Arundel. Inside the home, the flooring in one of the corridors leading to a lounge had ingrained dirt around the edges. The TV in the main lounge was not working properly and had a poor picture. A carpet in one of the bedrooms was badly stained. The financial reports for the 2008/9 are not yet available. An Improvement plan was provided during the inspection with regard to the requirements and recommendations made at the key inspection undertaken on the 9th June 2009; the improvement plan did not refer to the requirements made at a random inspection undertaken on the 17th July 2009 following concerns raised by Social Services. Staff have not attended safeguarding training that had been arranged by the acting manager. A copy of Regulation 26 visits had been completed but it was lacking in detail. The sit down weigh scales have been repaired. What the care home does well: What they could do better:
It is important that a manager is recruited who is then registered with the Commission to
Care Homes for Older People Page 4 of 10 ensure the effective management of the home. There is a need to obtain written quotes for repairs to the roof and written confirmation from a competent person that the roof and outside wall are safe and not in danger of collapse. The doors leading to the rooms where there has been leakage and ceiling collapse should be made secure to ensure that any person being cared for at the home cannot enter and injure themselves. Priority should be given to improving the outside and inside of the home to ensure that it is a pleasant and safe place to live and to ensure that the persons cared for are able to access the garden. Attention should be paid to the cleaning of the home to ensure that good cleaning standards are maintained. The carpet that is badly stained should be replaced. The Television in the downstairs lounge requires attention in order to provide a clear picture. There is a need to ensure that staff attend safeguarding training and that they understand the importance of attending mandatory training. Regulation 26 visits should be recorded in sufficient detail to provide information about the conduct of the care home that includes information about the persons cared for, staff and the environment. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 18 13 All staff must receive training 27/11/2009 on the safeguarding of adults from any abuse. To prevent the persons cared for in the home from harm. 2 19 23 Repairs must be made to the 21/08/2009 roof where leakage is occurring. To ensure the health and safety of the persons cared for as well as staff. 3 19 23 The outside area must be made safe to allow safe exit by the persons cared for as well as staff. To ensure the health and safety of the persons cared for as well as staff. 21/08/2009 4 29 19 Evidence must be provided 10/07/2009 of security checks and appropriate references have been obtained prior to commencement at the home. In order to protect vulnerable persons cared for in the home. 5 31 9 A manager must be appointed who applies for registration with the 23/10/2009 Care Homes for Older People Page 6 of 10 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action commission once they commence duties. To ensure effective management of the home and that it meets regulatory standards of care. 6 34 25 Financial records for the last financial year, 2008/9 must be sent to the commission. To ensure the financial viability of the home and the the home is being managed effectively. 21/08/2009 Care Homes for Older People Page 7 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 19 23 Written confirmation must be 16/10/2009 obtained from a suitably qualified person that the leakage to the roof has not caused any structural damage to the building. To ensure the Health and Safety of the persons cared for and the staff. 2 19 23 The doors leading to the rooms affected by leakage must be secured to prevent entry. To ensure the Health and Safety of the persons cared for and the staff. 18/09/2009 3 19 23 Written quotations must be obtained with regard to the repair of the roof. To ensure the Health and Safety of the persons cared for and the staff. 16/10/2009 Care Homes for Older People Page 8 of 10 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 18 Staff must be made to understand the importance of attending mandatory training such as safeguarding for the protection of the persons cared for in the home. The flooring leading into the main lounge should be given a thorough clean to ensure good hygiene is maintained. The television in the downstairs lounge should be repaired to provide a clear picture in order to provide entertainment to the persons cared for in the home. The regulation 26 recordings require more detail as to how the home is performing and whether it is meeting acceptable standards of care. 2 3 19 20 4 33 Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
