Inspection on 15/08/06 for Arundel Park

This inspection was carried out on 15th August 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Arundel Park 17/03/09

Arundel Park 01/04/08

Arundel Park 09/10/07

Arundel Park 15/12/05

Arundel Park 17/05/05

Arundel Park 06/12/04

Arundel Park 28/05/04

Arundel Park 12/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Arundel Park Sefton Park Care Village Sefton Park Road Liverpool Merseyside L8 3SL Lead Inspector Andrea Morris Unannounced Inspection 09:30 15 & 29th August 2006 th X10015.doc Version 1.40 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 Park DS0000059311.V288724.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 Older People. 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 Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arundel Park Address Sefton Park Care Village Sefton Park Road Liverpool Merseyside L8 3SL 0151 291 7840 0151 726 1999 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) European Wellcare Homes Ltd Janet Margaret Burns Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 50 Nursing and 50 Personal Care in the overall number of 50 This service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection To accommodate one named person requiring palliative care under 65 years old To accommodate three named service users who are under 65 years old 15th December 2005 Date of last inspection Brief Description of the Service: Arundel Park Care Home is part of the Sefton Care village complex situated in a residential area, close to the city centre. The home is part of the European Wellcare group who has several homes within the Merseyside Area. The home is purpose built and is registered to provide care for fifty elderly persons who require either nursing or personal care. The home is accessible by public transport (mainly bus) and is close to spacious green areas such as Sefton Park. Within the complex, service users have access to a cinema, hydrotherapy pool, snoozelum and a licensed bar. The home has a central garden known as The Court, which is well tended and furnished with patio furniture. The home provides accommodation in single rooms, all with en-suite facilities. There are several lounges and two dining rooms over two floors. There is a passenger lift and two stairways to give full access to all areas of the home. The home is centrally heated and individual thermostatically controlled radiators in all of the bedrooms. The complex has one main kitchen with satellite kitchens in each home. There is a laundry service provided by a separate team of laundry assistants. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over two days, during the inspection the inspector spoke with residents, relatives, staff members and the manager. A selection of documentation was examined including care files, staff personnel files, medication and documentation relating to health and safety. A full tour was made of the home on the first inspection date. What the service does well: What has improved since the last inspection? What they could do better: Some areas of the home are in need of repair and redecoration, these areas have been listed to the manager at the end of the inspection. Supervision is needed to be provided to all staff on a six times per year basis. Fire safety precautions must be adhered to at all times and staff must comply with ensuring residents safety is maintained. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 6 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 Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5, 6 Residents are only admitted to the home following a full assessment of their needs, this assists in ensuring residents needs can be met. EVIDENCE: The homes Statement of Purpose and Service User Guide remains adequate and contains all the necessary information to assist in potential residents in making choices about the home. All residents admitted to the home are in receipt of a written contract that clearly defines their terms and conditions of residency. Either the Home Manager or a suitably qualified designated person assesses all residents prior to admission. Any potential resident is offered the opportunity to visit the home, they and their families are able to visit on more than one occasion to assist them in making the right choice. If preferred, a potential resident can choose to stay for an afternoon or a meal at no additional costs. The home does not provide intermediate care. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Care plans and risk assessments are formulated and reviewed on a regular basis, this assists in ensuring resident’s care is appropriate and their safety maintained. EVIDENCE: A selection of care files were examined, it was noted that all residents had completed care plans that were reviewed on a monthly basis. All residents are assessed for potential risks, these are also reviewed on a monthly basis. Wound care management is well managed, care plans are reviewed on a regular basis, all wounds are body mapped and other outside professionals such as Tissue Viability Nurses visits are recorded. The homes medication was viewed, it was found that the controlled drugs held in the home were correct, fridge temperatures are also recorded on a daily basis. However there were several errors found in relation to medication, it was noted that creams were found in residents bedrooms, they did not all have the correct resident name on, some did not have any names on at all. This practice is not safe as there is a risk of cross infection. It was also noted that not all handwritten entries had two signatures entered. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 10 The home provide in the front of each resident drug sheet information about specific medications and the advise of what to look out for and actions to be taken in certain situations. Many residents who spoke with the inspector stated they were very happy living in the home and staff was respectful of their needs and preferences. Several residents made the comment that they could choose how to spend their day. Two staff have recently completed a palliative care course that was held at Mossley Hill Hospital. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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 Activities are varied, this assists residents in maintaining socially stimulating lives. EVIDENCE: The home employs an activities organiser for 12 hours per week. Planned activities are listed on the notice board, activities include Bingo, outings, craft and sing a longs. The home also accesses outside entertainers to visit on a monthly basis. The home provides a regular raffle to help provide funds so to provide varied activities and regular trips out. On the day of the inspection an outing to New Brighton was planned. The home operates an open visiting policy, many visitors to the home confirmed that they could visit freely and were able to visit their relative in private. Residents who spoke with the inspector stated they enjoyed the activities offered, they also confirmed that they were able to choose whether they wished to participate or not and the decision they made was respected. It was noted during the inspection that the staff had a good rapport with all residents. The menus are rotated on a four weekly basis, the residents stated they were generally happy with the quality of food, menus were found to be varied and Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 12 provided choice. Residents confirmed that they could if they wished make an alternative selection to the ones listed on the daily menu. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Staff receive regular training in adult protection, this assists in protecting residents from potential harm. EVIDENCE: The complaints policy and procedure was seen and found to be adequate. Complaints are recorded along with the action taken. There have been no complaints received by the Commission for Social Care Inspection since the last inspection. The home displays information on independent advocacy agencies that residents and/or their families can access privately, they provide information and advise on all aspects of elderly care. Residents on entering the home are enrolled on the electoral role. Any resident who wishes to maintain their right to vote is assisted to the polling station or is given the opportunity to access the postal voting system. 70 of staff have completed training in adult protection, the remaining staff are due to complete in the next couple of months. Adult protection training is provided on an annual basis. During the induction period all new staff are provided with an overview of the training and then placed on the next available training day. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Fire safety practices must be complied with to ensure all persons living and working in the home are kept safe from any potential harm. EVIDENCE: During the tour of the home it was noted that the general maintenance of the home was well maintained; however, it was noted that several fire doors were wedged open and one fire escape door was blocked by chair being stacked in front of it. An immediate requirement was issued and staff took the relevant action to rectify the situation. All communal areas were found to be well maintained, residents are able to access the garden area via ramps, residents confirmed that during the better weather they had enjoyed spending time in the garden. The home only has one hoist, a second hoist is required to ensure residents needs can be met appropriately. All residents enjoy their own room, all rooms viewed were noted to be personalised and residents who spoke with the inspector stated they were able to bring in their own pieces of memorabilia to assist them in settling in. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 15 It was noted during the tour that several rooms were in need of redecorating, and one bedroom had a cracked window that was needing to be repaired. The majority of the home was found to be clean and free from any unpleasant odours except one bedroom that had a strong smell of urine. On the second day of the inspection this room was free from any unpleasant odours as the room had been cleaned. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Recruitment practices of staff is safe, this assists in ensuring resident safety is maintained. EVIDENCE: Staff rotas were seen and found to be adequate, the homes own staff is covering all shifts, the home uses very little agency, thus providing continuity of care for residents. Staff are trained in a variety of care subjects including cross infection, continence, pressure area care as well as the mandatory subjects of fire, moving and handling and food hygiene. 50 of care staff hold the NVQ in care certificate, some staff are currently studying the course and others are due to start in the near future. A selection of care files were examined and found to contain the necessary information, all nurses are checked for registration with the Nurse, Midwifery Council. All staff are CRB (Criminal Records Bureau) checked. Records of staff files were noted to be well maintained. Not all staff were found to be in receipt of a copy of their job description, a recommendation has been made in relation to this. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37 The manager is experienced and provides strong leadership to staff, this assists in providing good standards of care to residents. EVIDENCE: The home manager is registered with the Commission for Social Care Inspection, she is experienced in care of the elderly. The manager has completed the NVQ4 in Management. Staff who spoke with the inspector stated they found the manager approachable and fair, residents also confirmed they were happy with the current manager as they found her friendly and approachable. Relatives/residents meetings are held on a regular basis, the home has recently stated to produce a newsletter that also assists in keeping all persons up to date with what’s happening. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 18 The home carries out its own audits to provide continuous improvements of its practices, a quality questionnaire has recently been provided to relatives and residents, this will be done on a twice yearly basis, and the results of the findings are to be published within the home on receipt of all correspondence. Not all staff are receiving regular supervision, there are plans for staff to receive training on what is supervision in September 2006. Residents’ personnel finances where checked and all found to be correct, records are maintained. The home regularly reviews its policies and procedures, last up date was in March 2006. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 N/a 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 1 3 3 2 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 2 3 N/a Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO 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 OP9 Regulation 13(2) Timescale for action The registered person shall make 10/09/06 arrangements for the recording, handling, safekeeping, safe administration, and disposal of medicines received into the care home. (a) All handwritten entries onto a drug sheet must have a second signature recorded. (b) All residents’ creams must be named and in the correct residents room, so only that resident uses the medication. The registered person shall after 16/08/06 consultation with the fire authority provide adequate means of escape. The registered person shall 30/09/06 provide the home with equipment suitable to the needs of residents. The registered person shall 30/09/06 ensure that all parts of the home are kept reasonable decorated. The registered person shall keep 30/09/06 the home free from any DS0000059311.V288724.R01.S.doc Version 5.2 Page 21 Requirement 2. OP19 23 (4)(b) 16(2)(c) 3. OP22 4. 5. OP25 OP26 23(2)(d) 16(2)(k) Arundel Park 6. OP36 18(2) unpleasant odours. The registered person shall ensure all persons working in the home are appropriately supervised 30/09/06 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 OP18 OP30 Good Practice Recommendations It is strongly recommended that all staff including ancillary staff complete adult protection training. It is strongly recommended that all staff are issued with a copy of their job description. Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Arundel Park DS0000059311.V288724.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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