Inspection on 17/05/05 for Arundel Park

This inspection was carried out on 17th May 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 15/12/05

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 L8 3SL Lead Inspector Jeanette Fielding Unannounced Tuesday, 17th May 2005 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 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 F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Arundel Park Address Sefton Park Care Village, Sefton Park Road, Liverpool, L8 3SL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0151 291 7840 0151 726 1999 Wellcare Nursing Homes Ltd Janet Margaret Burns Care Home with Nursing 50 Category(ies) of OP Old Age - 50 registration, with number of places Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 50 Nursing and 50 Personal Care in the overall number of 50 persons aged over 65 years. Date of last inspection 6th December 2004 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 accessibe 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, snoozelan and a licenced 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 F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 10.10 am and took place over five hours. Service users, relatives and staff were spoken to, to gather information regarding the service provided, the choices offered and the quality of the care given. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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 standard(s) 1, 3 The homes Statement of Purpose is good, providing service users and prospective service users with details of the services the home provides, enabling them to make an informed decision about admission to the home. Comprehensive assessments are made of prospective service users to ensure that the home can meet their individual needs and preferences. EVIDENCE: The Statement of Purpose is detailed and informative and is readily available on request from the home. It contains all information regarding the service offered by the home and of the services available at additional cost i.e. chiropody, hairdressing and newspapers. The service users files were inspected and each was found to contain a completed assessment form. These forms contain information about the service users health and social care needs and identifies any specialist aids or equipment that the home will need to provide prior to the service user being admitted to the home. The assessments are reviewed following admission and on a regular basis to ensure the changing needs of the service users are identified. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10 Care plans provide all information to ensure that staff can provide the individual care needs for each service user. Medication recording procedures are not always followed and potentially places service users at risk. Personal care is given in private to respect service users privacy and dignity. EVIDENCE: Seven care plans were inspected and all were found to be comprehensive and informative. The records show that the care plans are reviewed and changed on a regular basis, and when necessary, to ensure that the changing needs of the service users are identified and met. Information necessary for care staff to meet individual needs and preferences were recorded and the daily reports completed by staff provide evidence of the care given. Details of all visits by GP’s and other health care professionals are recorded to provide evidence that all health care needs are met. Medications are generally addressed as required. Hand written entries on MAR sheets have not been signed by two persons to indicate the accuracy of the entries. The manager gave assurances that this would be addressed immediately. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 10 Evidence that privacy and dignity are respected was observed. Personal care is given in service users own bedroom or in the bathroom as appropriate. All service users are provided with a single bedroom with en-suite facilities. Staff were seen to speak discreetly with service users when referring to toileting and personal care matters. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 Routines are flexible to suit service users preferences. The home is conducted to promote personal autonomy by offering choices in all aspects of daily living. Dietary needs of service users are well catered for to meet service users tastes and choices. Refreshments served did not offer choice regarding individual preference. EVIDENCE: Service users spoken to confirmed that the home met their expectations and commented on the high standard of care given by the staff. Records are now being prepared to demonstrate the activities that take place within the home. A choice of sitting areas are provided to give additional choices to the service users. Visitors spoken to confirmed that they were free to visit the home at any time and that they were always made to feel very welcome. Service users are regularly surveyed regarding the meals provided and are given the opportunity to contribute to the menus which are regularly reviewed and amended according to service users comments. A new chef has recently been employed and has contributed to the choice of meals offered. A selection of meals is offered at all mealtimes and the menu’s provide evidence that a varied and balanced diet is offered. Meals are prepared in the central kitchen and are served from the satellite kitchen in each home. Menus are displayed Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 12 in0 the dining rooms to provide information for service users and to enable visitors to the home to evaluate the service provided. At the time of the inspection, tea was being served to service users from a large plastic jug, as the tea pots previously used had developed leaks. The tea had been ready made, complete with milk, thereby denying service users the opportunity to select the strength of the refreshment. The jugs were not fitted with lids and were served from a mobile trolley, presenting as a risk to both staff and service users, and as a risk from airborne particles. The time take for the refreshments to be served did not ensure that each service user was offered a drink at the appropriate temperature. The manager was advised to ensure that this practice ceased and that suitable facilities were provided for the preparation of hot refreshments. New crockery has recently been purchased. This crockery is unbreakable, and is not of the type that service users have been accustomed to prior to their admission to the home. Some of the cups in use had become stained and require to be appropriately cleaned prior to use. Service users should be risk assessed regarding the type of crockery used, and their individual preferences taken into consideration. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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 standard(s) 16, 18 Staff have good knowledge and understanding of Adult Protection issues which protects service users from abuse. EVIDENCE: Staff have been given training on adult protection issues and information is available in the home of the action to be taken in the event of abuse being suspected. Staff spoken to were able to demonstrate their knowledge of abuse through acts and omissions and of the action to be taken. No complaints have been received by the home since the last inspection and none have been received by CSCI. Information on how to make a complaint is displayed within the home and also detailed in the Statement of Purpose. Service users spoken to were aware of who to make a complaint to. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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 standard(s) 19, 21, 26 The general maintenance of the home is poor resulting in reduced facilities and a poor environment for service users. EVIDENCE: The programme of redecoration continues to take place within the home, however, considerable maintenance issues were identified as not having been addressed. 1. Bathroom 1. This room is not currently used and is used for storage, although the WC is used. The room should be cleared and made available for use. It may be necessary for the type of facilities provided to be reviewed. 2. Corridor. The carpets in the corridors are stained. The carpet should be cleaned and if necessary, replaced. 3. Sluice 1. The paint on the ceiling is flaking and requires repair. No soap, towels or bin was provided. The rooms is used for the storage of a hoist and a Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 15 wheelchair, rendering the facility unavailable. The sluice facility must be accessible and provided with all necessary equipment. 4. Bathroom 2. This room was out of order. Appropriate action is to be taken to ensure that all facilities are provided for service users. 5. Bathroom 3. The emergency call bell location is not provided in a suitable position to enable service users to use it. It should therefore be relocated. 6. Smoking lounge. The extraction within this room is inadequate resulting in smoke permeating into other areas of the home. The décor has become stained and faded. This room now requires redecoration and the provision of suitable extraction. The overbed tables that are used instead of small tables in this room are cracked and damaged and require to be replaced. 7. Duvet covers have become faded and worn and consideration should be given to replacing these as part of the general improvement programme. 8. Bathroom 4. The bath seal, and the seal around the flooring has become damaged and would benefit from replacement. 9. Stair carpets. These have become worn and shabby and should be replaced prior to them developing as a tripping hazard. 10. Guttering. Some of the guttering around the home now holds considerable amounts of weeds. This should be cleared prior to it presenting as a problem from blockage and overflow. 11. The bath hoist in the ground floor bathroom remains broken and unavailable. A requirement was made at the last inspection for the hoist to be repaired and made available for use but has not been addressed. This is to be dealt with as a matter of some urgency. It was evident that staff strive to provide a clean and fresh environment for the service users. All areas were found to be clean and there were no offensive odours. Appropriate arrangements are in place for the disposal of general and clinical waste. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their roles. The home operates a thorough recruitment procedure to ensure the protection of service users. EVIDENCE: The home provides two registered nurses at all times between 8am and 8pm. The nurses are supported by eight care staff in the busy morning period and six in the afternoon and early evening. At night, one registered nurse is supported by four care staff. The home employs bank staff to cover sickness, annual leave and vacant positions. Considerable improvements have been made to the staff files within the home. Information required to be held in the files, as detailed in Schedules 2 & 4 of the Care Homes Regulations 2001, is now in place. The robust recruitment procedure is undertaken in accordance with equal opportunities. A comprehensive induction programme is followed by all new staff to the home. NVQ training continues to be promoted with many staff taking up the opportunity to develop their career. Training needs are identified, based on the role, skills and abilities of the staff, and on the needs of the individual service users. Designated laundry, catering and maintenance staff are employed with responsibility for all services the Care Village. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 38 The systems for service user consultation are good with a variety of evidence that indicates that service user views are both sought and acted upon. EVIDENCE: A questionnaire has been sent to all service users to undertake a quality monitoring audit. Regular service user meetings are held and the home also provides ‘Let us know what you think’ forms to obtain views and opinions. Staff meetings are held on a regular basis and the meetings are minuted. Audits are undertaken on care plans and medication procedures on a regular basis by the manager. Audits are also undertaken on falls and the times they occur to see if there is a pattern and to put preventative measures in place where possible. Family members are encouraged to manage service users personal finances. Small amounts of money are held at service users/family’s request to pay for Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 18 items such as hairdressing and chiropody. Receipts are held for all purchases made on service users behalf and the records inspected were found to be accurate. The owners visit the home on a monthly basis and a report is prepared for the manager. Staff have all been given training on health and safety together with fire training and moving and handling. The manager and the caretaker take responsibility for ensuring that health and safety issues are addressed within the home, however, as identified in Standard 19, some additional issues require attention. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 1 x 1 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 20 Yes 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. Standard 19 Regulation 13 Requirement The Registered Person must ensure that bath hoist in the ground floor bathroom be repaired. This remains oustanding from last inspection. Requirement date of 31/1/05 not met. The Registered Person must ensure that bathroom 1 is cleared and made available for use. The Registered Person must ensure that the stained corridor carpets are cleaned and if necessary, replaced. The Registered Person must ensure that Sluice 1 is cleared and equipped appropriately. The Registered Person must ensure that bathroom 2 is made available for use. The Registered Person must ensure that the call bell in bathroom 3 is appropriately located. The Registered Person must ensure that the smoking lounge is maintained in a clean condition with appropriate extraction. The Registered Person must ensure that damaged overbed F52 F02 S59311 Arundel Park V228418 Stage 4.doc Timescale for action 19th August 2005 2. 19 23 30th June 2005 14th October 2005 30th June 2005 30th June 2005 29th July 2005 25th November 2005 15th July 2005 Page 21 3. 19 23 4. 5. 6. 19 19 19 16 23 13 7. 19 23 8. 19 23 Arundel Park Version 1.30 tables are replaced. 9. 15 16 The Registered Person must ensure that suitable and sufficient equipment for the serving of refreshments are provided i.e. teapots. 30th June 2005 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 9 19 19 19 Good Practice Recommendations Handwritten entries on MAR sheets should be signed by two persons to ensure accuracy. The bath and floor in bathroom 4 would benefit from being sealed to prevent water damage. Consideration should be given to replacing worn and shabby stair carpets. The guttering around the building would benefit from being cleared. Arundel Park F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Liverpool Office 3rd Floor, 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 F52 F02 S59311 Arundel Park V228418 Stage 4.doc Version 1.30 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. 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