Random inspection report
Care homes for older people
Name: Address: Arundel Lodge 1 Station Road Wesham Kirkham Lancashire PR4 3AA one star adequate service 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 7 0 7 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 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:
Regarding the concerns, a number of issues had been raised about the environment at the last key inspection and again recently following a visit by Social Services Contracts Department. A Social Worker also raised concerns about the funding of one of the persons cared for at the home. The issues raised were discussed with the registered owners of the home also present was the acting manager. Concern over the funding of a resident. Mr Yousaf who is the registered provider/owner stated that they were aware of the problems that had occurred and that they were being sorted out; a meeting had been arranged with a representative from Social Services. Issues had been raised about suspected carbon monoxide poisoning that had resulted in two members of staff being sent to Hospital earlier this year. Mr Yousaf stated that there had been a suspected gas leak and a gas engineer had been called who had checked and found no problems. Evidence was provided of the report made by the engineer on the 06/03/2009. Two members of staff had been taken to hospital as a precaution and were found to be not suffering any ill effects. Issues had been raised about the cooker being old and uninsurable also about the choice of food at tea times. Mr Yousaf agreed that the cooker is old and will be replaced as soon as possible. The cook was spoken with and she confirmed that although the cooker is old she has been able to bake. The cook also confirmed that a choice of food was available to the residents at tea time and she would make whatever they wished including soup, scrambled egg etc if they did not want a sandwich. Social Services Contracts department had noted that the flat roof extension was leaking and the ceiling had collapsed in one of the unused bedrooms. The upstairs lounge was viewed, it had a damp corner on one of the external walls and this has caused the wallpaper to peel off. The upstairs lounge is used by two of the residents. An unused bedroom in one of the corridors is in a very poor state with a ceiling collapse in one corner and a bucket underneath to catch the water. The downstairs lounge does not appear to be affected by any leaks. Mr Yousaf stated that they have received a quote for the repair required for the roof and were in the process of obtaining further quotes. Apart from the upstairs lounge, the rooms used by persons cared for in the home are not currently affected by the leakage. The outside area is still too dangerous for the persons being cared for to walk on and staff have confirmed that they think it is too dangerous for any person to be pushed in a wheelchair on the uneven surface. Mr Yousaf confirmed that it is still their intention to make the area safe. The sit down weigh scales have not been repaired and this means that staff have not been able to weigh people as required. Evidence was provided showing that they have received an estimate to re-calibrate the scales and that action could be taken to repair them. Care Homes for Older People Page 4 of 10 Management of the home is still being undertaken by another manager of a home owned by Hexagon Healthcare. Mr Yousaf stated that although they have placed an advert, there have so far been no applications. At the last key inspection there was no evidence of regulation 26 visits by the owner of the home and these records have been outstanding at the last two inspections. Mr Yousaf provided evidence that regulation 26 visits and records have recently commenced. Regulation 26 is a written record of when an owner carries out a visit to the home once a month to check the performance of the home and whether it is meeting regulatory requirements. According to staff bills have been unpaid and their wages have been incorrect and there are only a small number of persons currently being accommodated. Mr Yousaf stated that although in order to bring the home up to acceptable standards, there was a need for substantial financial input, they had every intention of completing the necessary work. There is a need for an Improvement Plan that includes the action to be taken on the requirements and recommendations made relating to the issues raised and discussed at the random inspection. The Improvement Plan should also include when action is to be taken on the requirements and recommendation made at the last key inspection. The last key inspection was the 9th June 2009. What the care home does well: What they could do better:
The lack of a registered manager is a concern because there has been no registered manager since the current ownership. As well as the issues detailed in What we found above. There are other issues raised at the last recent key inspection. All staff need certificated training on safeguarding of vulnerable adults. At the last key inspection the towels were worn and threadbare. The bedrooms belonging to the persons cared for in the category of dementia were sparse and unwelcoming. One of the persons cared for in the category of older person, was concerned that the television in the lounge would not accept digital broadcasts. Staff require regular formal one to one supervision that is recorded at least 6 times year. There is a need for a structured activity programme and outings that are suitable for the persons cared for.
Care Homes for Older People Page 5 of 10 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 6 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 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. 3 31 9 A suitably experienced and qualified manager must be employed and registered with the Commission. To ensure the efficient and smooth running of the home. 16/10/2009 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 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 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 22 23 The sit down weigh scales 21/08/2009 must be repaired to ensure the accurate weighing of the persons cared for. To ensure the health and safety of the persons cared for as well as staff. 4 31 9 A manager must be appointed who applies for registration with the commission once they commence duties. 23/10/2009 Care Homes for Older People Page 8 of 10 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 To ensure effective management of the home and that it meets regulatory standards of care. 5 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. 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 21/08/2009 1 19 The cooker should be replaced to ensure it is not a health and safety concern and that it is fit for purpose. 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!
