Inspection on 15/12/05 for Arundel Park

This inspection was carried out on 15th December 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Arundel Park 17/03/09

Arundel Park 01/04/08

Arundel Park 09/10/07

Arundel Park 15/08/06

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 15th December 2005 08:30 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.V272165.R01.S.doc Version 5.0 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.V272165.R01.S.doc Version 5.0 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.V272165.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 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 accomodate one named service user who is under 65 years old To accommodate one named person aged under 65 years Date of last inspection 17th May 2005 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 have 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.V272165.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over 5 hours. The inspectors spoke to residents’, family members, staff and the manager. A tour was made of the home, documentation was examined including residents’ files, staff files, policies and procedures, certificates relating to Health and Safety and Fire Safety records. What the service does well: What has improved since the last inspection? What they could do better: On going re-decoration must continue to ensure the home remains well presented. All aspects of Health and Safety must be adhered to especially in relation to Fire safety. Medication must be recorded accurately so to protect residents’ from potential abuse. All residents’ who require the use of bed rails must have bumpers fitted so to protect residents’ from harm. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 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.V272165.R01.S.doc Version 5.0 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.V272165.R01.S.doc Version 5.0 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, 4, 5, 6 Residents’ are only admitted following a full assessment of their needs, this ensures the residents’ safety and interests are protected. EVIDENCE: The Statement of Purpose contained information that was concise and easy to read. There is a copy of the Statement of Purpose and Service User Guide is available upon request. Each individual is given a written contract that clearly identifies their terms and conditions. The manager or Deputy Manager carries out a pre-admission assessment to ensure the needs of each individual can be met. Potential residents’ are encouraged to visit the home prior to admission so to ensure they have made the right decision. Individual records are maintained, and a number were examined. It was found that a comprehensive care plans had been formulated for each individual, along with appropriate risk assessments. The home does not provide intermediate care. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 9 Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 10 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, 12 All medication must be recorded appropriately so to ensure residents’ safety is maintained. EVIDENCE: Individual care plans are in place, all aspects of personal, health and social care are included. Only some care plans were found to be reviewed on a monthly basis; individual risk assessments were reviewed monthly. There is detailed evidence of visits from other healthcare professionals, including District Nurses, chiropodists etc. Residents’ stated they were if they wanted to, be involved in planning their care, residents’ also confirmed that staff respected their wishes/choices of how they wished to spend their day. The treatment was found to be well organised, stock was adequately controlled; daily fridge temperatures were recorded. Hand written entries were found to have double signatures so to protect residents’ safety. However it was found that entries made in the controlled drugs book were not accurately recorded. The home has reviewed all its policies and procedures including the policy relating to death and dying. The policy was found to be appropriate and Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 11 contains all the information necessary to ensure residents’ dignity is maintained. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 12 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 The food served is of a good standard therefore ensuring that residents’ nutritional status is maintained. EVIDENCE: The home has employed an activity organiser for 12 hours each week. Care staff also assist in the delivery of activities. Forthcoming activities are displayed on the notice board in the entrance area. The home has recently had its’ Christmas Party which residents’ stated they thoroughly enjoyed. The main lounge has a very large television that is easy for residents’ to see. The activities organiser records all activities undertaken, she also records when residents’ don’t participate. Residents’ confirmed that all the decisions they made were respected and they never felt forced to participate in anything they didn’t want too. The home maintains close links with the local community, the church visit on a weekly basis; recently the Salvation Army has made visits, along with the local schools carol singing. The menus have been re-drafted since the last inspection and a new chef has been recruited. The menus are on a 4 weekly rota, a recent questionnaire was given to all residents’ to monitor the service of the food being served, Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 13 responses received were very positive. The residents’ confirmed that they could have an alternative to the proposed option if they requested. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 14 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 The home has a good complaints procedure, which assists in safeguarding and protecting residents’. EVIDENCE: The home has an adequate complaints procedure that includes details on how to contact the Commission for Social Care Inspection. There have been no complaints received by the Commission since the last inspection. All complaints are recorded and copies of responses are available for inspection. Residents’ are supported to maintain their legal rights. Any resident wishing to vote can either do so by postal voting or staff will assist ensuring the residents’ are escorted to the local polling station. Families are encouraged to assist so to ensure the rights of the resident are maintained. The home displays information on independent Advisory Services in the entrance area for residents’ or their families to be able to access. The staff receive training on POVA (Protection of Vulnerable Adults) at induction and during their employment. The company have recently purchased a training video on Adult protection that contains a self-assessment paper for staff to complete. The policy on Adult protection is adequate to ensure all residents’ are safe guarded against abuse. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 15 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 The home is clean and tidy ensuring residents’ safety and comfort is maintained. EVIDENCE: The home is generally well maintained, however during the tour of the home it was noted that a fire door was missing from a storage area, the manager during the inspection made an urgent request to have the door replaced. The courtyard in the centre of the building is well maintained; the manager confirmed that during the summer months the residents’ enjoyed spending time outside. Since the last inspection there has been improvement to the bath and toilet facilities, repairs have been carried put and regular servicing ensures the facilities are maintained. Since the last inspection the home has purchased new bedding to ensure comfort for all residents’; new carpet has also been fitted to the ground floor following a requirement being made during the last inspection. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 16 All the rooms are single bedrooms; residents’ are encouraged to bring in personal effects with them. Many rooms had been personalised to a high standard. The home was found to be clean and free from any unpleasant odours. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 17 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 The procedure for recruitment is satisfactory and ensures all clients living in the home are safe and protected. EVIDENCE: The home is well staffed; a new deputy has been recruited to assist with supporting staff. Rotas were examined and it was noted that all shifts were covered appropriately. The home is currently using little to no agency staff. 53 of care staff have completed NVQ2 in care; domestic staff has completed NVQ1 in domestic work. There are plans for further care staff to commence NVQ training in the New Year. It was found during the examination of the training file that staff received regular training in a variety of subjects including pressure area care. Staff receives a detailed induction programme that covers equal opportunities, confidentiality and abuse. A selection of staff personal files were examined, a robust recruitment policy was being followed, evidence that staff were being appropriately checked. Residents’ and families who spoke with the inspector identified that staff were both professional and helpful. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 18 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, 36, 37, 38 The home is well managed; there is a strong sense of leadership. Health and Safety is maintained and documentation supports this. EVIDENCE: The Registered manager is an experienced manager who has completed the Registered Managers’ Award. Staff who spoke with the inspector stated the manager was approachable. Residents’ and staff stated they enjoyed being in the home, residents’ stated they were happy living in the home, they stated they had confidence in the manager. The manager holds regular meetings with staff, health and safety issues along with care issues are discussed during these meetings. The manager carries out internal audits on care plans and medication to ensure compliance and to monitor practices within the home. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 19 Certificates relating to Health and Safety were examined and found to be in date and relevant. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 20 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 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 2 3 3 3 3 3 3 3 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 N/a N/a 3 3 3 Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 23(2)(b) Requirement Timescale for action 20/12/05 2. OP8 13(4)(c) 3. OP9 13(2) The Registered Person must ensure the storage door to the upper floor opposite Room 38 must be replaced and fitted correctly. The Registered Person shall 20/12/05 ensure that unnecessary risks to the Health and Safety of service users are identified; bed rails in use must be fitted with bumpers to reduce the risk of harm. The Registered Person shall 31/12/05 make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. 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. Refer to Standard OP7 Good Practice Recommendations It is strongly recommended that residents’ care plans be DS0000059311.V272165.R01.S.doc Version 5.0 Page 22 Arundel Park reviewed on an at least monthly basis to ensure resident care is appropriate. Arundel Park DS0000059311.V272165.R01.S.doc Version 5.0 Page 23 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. 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