Inspection on 07/11/06 for Arundel Park Lodge

This inspection was carried out on 7th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

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Conifer Lodge

Compton House

Cornford House

Copperfield House

Cornfields

Cornwell House

Cornerways Rest Home

Corrina Lodge Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/06/2011.

CARE HOMES FOR OLDER PEOPLE Arundel Park Lodge 22 - 24 Arundel Drive East Saltdean Brighton East Sussex BN2 8SL Lead Inspector Elizabeth Dudley Key Unannounced Inspection 7th November 2006 10:00 am 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 Lodge Arundel Park Lodge.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 Lodge Arundel Park Lodge.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arundel Park Lodge Address 22 - 24 Arundel Drive East Saltdean Brighton East Sussex BN2 8SL 01273 303449 01273 308294 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) Whytecliffe Limited Mr Michael Redwood, Mrs Anita Karen Redwood Mrs Anita Redwood Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The service can provide up to (16) nursing places and (14) personal care places. The maximum number of service users to be accommodated is (30) Service users should be aged 65 years or over on admission Up to 3 service users aged 60 and over who are terminally ill may be accommodated One named service user aged 50 years may be accommodated Date of last inspection 2nd November 2005 Brief Description of the Service: Arundel Park Lodge is registered as a care home with nursing; it has accommodation for 30 service users, and can admit service users with either personal care or nursing needs. Initially the home was registered for residential (personal) care only, but was then refurbished and extended to provide a nursing facility. Mrs Redwood, the home owner and manager, is also a registered nurse. The home is situated in a pleasant residential area with views over Saltdean and the sea. It provides accommodation in the form of 25 single bedrooms and 2 double rooms, 21 of the single bedrooms and both double rooms having ensuite facilities. Communal facilities consist of 2 dining room and 2 lounge areas, and these are separated for nursing and residential service users, although they may use either. There are pleasant well maintained gardens and these are accessible to wheelchair users. Saltdean is on a main bus route and there is ample, unrestricted parking on roads around the home. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 7th November 2006 over a period of five and a half hours. The inspection was facilitated by Mrs A Redwood, registered manager and owner. During the inspection visit a tour of the home was undertaken, fourteen residents, nine members of staff and three visitors were spoken with in depth, and documentation which included personnel files, training programmes, care plans, medication records and health and safety documentation was examined. Information was also gained from the pre inspection questionnaire, which was completed by the provider prior to the inspection, and telephone calls to relatives or representatives of residents. Questionnaires were sent by the CSCI to General Practitioners, residents and visitors to the home. Six were returned from residents and four from relatives. No responses from General Practitioners have been received at the time of writing this report. What the service does well: The service provides a comfortable and friendly home for residents requiring both nursing and personal care. The manager implements a quality monitoring system which uses the view points of residents, visitors and staff, to influence practice within the home and to continually assess whether the home is meeting the expectations and the needs of all people using the home. A range of activities is provided, both by the care staff and by purchasing the services of people from outside the home, and residents’ choices in whether they wish to join in with these is respected. The home is aware of different cultural and religious requirements of residents and staff receive information and training in this. Comments from residents living in the home were positive; ‘… It is a good home and the staff are very nice, it was a good move coming in here’. ‘.. The food is pretty good on the whole, we get a choice of what to eat and usually very nice’. ‘… There are several things going on, art and such, but if you don’t want to join in you don’t have to’. ‘.. If things aren’t right then you just tell the manager and she puts them right for you’. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 6 The home is clean and provides three communal areas for residents, one of which has a selection of books and is used a quiet area. The home shows a commitment to staff training and many of the staff have worked at the home for a number of years. Visitors to the home said that they were always made welcome and were kept informed of individual residents progress. The care plans and other documentation were comprehensive and addressed the needs of the residents and matters required by regulation. All requirements made at the last inspection have been complied with and no further requirements were made at this inspection, although some good practice recommendations have been included in this report. What has improved since the last inspection? What they could do better: No requirements were made at this inspection although some good practice recommendations have been made. Placing menus in the dining areas would act as a memory aid for those residents who cannot recall what is on the menu that day or what they have chosen, and activities programmes displayed would inform them of what activities are available on specific days. Consideration could be given to improve the practice of transporting medications to the residential areas where it is difficult to use the medicine trolley. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 7 Liquidised meals are well presented when they leave the kitchen but staff could be encouraged not to mix all ingredients together when assisting residents with their meals. This would enable the resident to be aware of what part of the meal they were eating. 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. The summary of this inspection report can be made available in other formats on request. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 8 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 Lodge Arundel Park Lodge.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Sufficient information is provided to enable prospective residents to make an informed choice of home. Ongoing monitoring of the care and information provided to the resident ensures that the service meets their expectations and needs. EVIDENCE: The Statement of Purpose, Service User guide and Statement of Terms and Conditions, meet the National Minimum Standards and the regulations. All residents are in possession of a copy of the Service User Guide and the Statement of Terms and Conditions. The manager assesses all residents prior to them being admitted to the home, and takes all relevant information about the home with her. The preadmission assessment forms the basis of the care plan. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 10 Residents spoken with and questionnaires received by the CSCI stated that ‘ …Mrs Redwood came to see me before I came in and brought all the information with her’. ‘ ….I saw her (the manager) when I was in hospital and she gave me all the paperwork on the home, my son came in to look around, and he said it was alright, and I thought so too, so here I am’. ‘…. The manager came to see me when I was ill and my daughter made all the arrangements’. Staff have the relevant training to ensure they have the knowledge to care for the residents admitted to the home and the home is staffed by registered nurses twenty four hours a day. Over 50 of the care staff have achieved National Vocational Qualification level 2 in care, with ongoing training provided. Both the manager and deputy manager have attended study days for the Liverpool Care Pathway and Gold Standards Framework, which is a care programme used by staff to ensure the quality of care given to the terminally ill and the dying resident. On the admission of a resident the manager completes an audit to check that the resident has received all the information relevant to their stay at the home, and also conducts a further audit with a questionnaire after the resident has been in the home for a few weeks, further ensuring that everything is to their satisfaction. Residents are admitted on a four-week trial period and both they and their representatives can visit the home to look around and meet the other residents prior to their admission. The home is not registered for intermediate care, and although takes people for respite care, this does not meet the criteria for intermediate care. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are reviewed regularly and reflect the current assessed care needs of the residents. Medication practices taking place within the home ensure residents safety and well - being. EVIDENCE: A total of ten care plans (33 ) were examined and six of these were examined in depth to ensure the care documented and given was relevant to the needs of the individual residents. All care plans are formed from the original pre admission assessment and are drawn up in consultation with the resident or their representative. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 12 There was evidence of monthly review and care plans being formed in conjunction with the resident or their representative. All residents or representatives spoken with were aware of their care plans. There was evidence of the inclusion of risk assessments and consent forms for bed rails; wound care plans, nutritional care plans and a daily record in all care plans. Care plans contained relevant information on the assessed needs of the residents and the care given to meet these. The Wound care nurse and other specialist nurses are brought in to advise as required. Nutritional care planning and regular weighing of residents is in place with the implementation of the Malnutrition Universal Screening Tool used to assess resident’s needs. The services of a dietician are obtained as required. The home has a range of pressure relieving mattresses and evidence of a mattress audit having taken place. There are three residents with pressure damage at present, either due to illness or to having been admitted with these, these are all receiving the appropriate care. There is a key worker system in operation. Residents stated that their privacy, dignity and confidentiality were upheld. Most residents had their own telephones, and all nursing and medical interventions take place in the resident’s own room. Staff were seen to treat residents with respect and courtesy and used the resident’s preferred form of address. All residents looked clean, tidy and well cared for. The clinic room was clean and well ordered with evidence of drug fridge and clinic room temperatures being recorded. All eye drops and injections had their dates of opening recorded and there was evidence of stock control. Medication policies and procedures reflected current practice within the home. All medication charts had been signed following administration of drugs. It was noted that some of the registered nurses do not use the drug trolley when administering drugs to the residents in the residential side, although a safe practice of administration was evident. It is recommended that the use of the drug trolley, or some method whereby the drugs do not leave their original container until given to the resident, is practised. Controlled drugs were correctly stored and recorded. The provider is at present undertaking a drug administration audit in the home. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 13 The home has residents who are very ill. It was evident that the care given to these residents was in line with current researched practice and was delivered in an empathetic manner with residents being kept comfortable and the empathy extending to their relatives. Some senior staff have completed the Liverpool care pathway and gold standards framework, which is a care pathway for the dying resident, and elements of this were seen in practice. Resident’s last wishes were recorded in the care plan, and fluid and nutrition charts were in place. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit the social activities offered and by a varied and home cooked menu. EVIDENCE: There is an activities programme in place, which shows a range of activities, which includes some outings to theatre, pub lunches and musical entertainers. An artist comes into the home to help residents with painting and the home is planning a Christmas party. The home is also involved in the ‘ University of the Third Age’ with people from this visiting the home for poetry readings and other activities of interest. and there is a library in the upstairs small lounge. Staff facilitate the activities but one member of staff has a specific role in this with appropriate time allocated. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 15 Residents spoken with said ‘… I take part in all the activities, I really enjoy them,’ ‘ … we take part in most activities last week we had art and I painted a robin, it wasn’t bad, perhaps I’ve got a latent talent’. ‘.. There are things to do but I can’t really be bothered, I like to sit and watch the television and the staff come in and talk to me’. There was evidence in the activities folder of one to one interaction with those residents who do not wish to join in the activities. There is an open visiting policy and staff were seen to welcome visitors and there was good interaction between visitors, staff and management. Visitors were offered beverages and meals, those spoken with stated that they were kept fully informed about the resident’s progress and any concerns that may occur. The home holds a religious service once a month and the staff have information on various religious and cultural practices of any residents with an ethnic diversity. Residents stated that they have a choice of what time they get up and go to bed, and that meals are held for them if they have to go out. There is a good lunch menu in place and residents all have a copy of the current menu. The lunch meal offered on this day was salmon and hollandaise sauce, peas, carrots and cheesy baked potatoes followed by either Pavlova or egg custard. There was an alternative meal of salad and potatoes. All liquidised meals were seen to be leaving the kitchen with their ingredients served separately. However staff must be stopped from mixing these together when assisting residents with meals. Residents are served meals either in the dining room or the upstairs lounge/ dining room or in their rooms. There was a heated trolley in the lounge dining room for the serving of meals. The supper menu usually consists of a hot meal, selection of sandwiches and dessert. A cooked breakfast is available for those that wish. The majority of residents spoken with said that they enjoyed all the meals and that the lunches were excellent. ‘.. Food is good, there is a nice choice’, ‘… Food ok’. ‘… Food good, supper menu could be better’. One resident said that ‘ the food is not Savoy standard but it’s passable’ ‘… Food very good, always plenty to eat’. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 16 Three residents said that the suppers tend to be ‘ not very imaginative’, but menus seen of the supper meals showed an adequate selection of food. Care assistants are responsible for preparing the supper meal and all have their food hygiene training. The kitchen was clean and there was an adequate supply of fresh fruit, vegetables, dried and frozen food. Residents said that they are offered fruit. There was evidence that all the checks and records required by the Environmental Health Authority were in place. All staff have their ‘Food Hygiene Certificate’ and have attended courses in nutrition for the older person. The home has the ‘Clean Food Award’ from the Environmental Health Authority. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are protected by the complaints procedure and the staff awareness of the safeguarding of those in their care. EVIDENCE: There is a complaints policy and procedure in place, which meets the standard and the regulations. This is displayed in the main hallway and also included in the Statement of Purpose and Service User Guide. All residents and visitors spoken with and questionnaires received back by the CSCI, showed that everybody was aware of how and to whom to make a complaint. Residents are able to take place in the civic process by postal votes and the manager is aware of how to provide advocates for residents. All staff have had training in the safeguarding of the vulnerable adult, where able to respond correctly to a small example scenario given during the visit to the home. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 18 Personnel Files examined showed that all the necessary documentation was in place to ensure that residents are protected by robust procedures of staff selection. There have been no complaints or adult protection allegations over the past twelve months, but minor concerns made known to the manager have been dealt with in an open and transparent manner with residents saying ‘… the manager dealt with it very well and very quickly’. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and clean and is surrounded by attractive gardens thus providing a homely and comfortable environment for residents. EVIDENCE: Both the home and garden are well maintained. On the day of the inspection redecoration around areas of the home was taking place which included redecoration of two bedrooms and corridor area and the outside of the house having been repainted. The garden was well maintained, both back and front, and was attractive and accessible to residents, including those in wheelchairs. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 20 The home has 25 single rooms, of which 18 single bedrooms and three double bedrooms have ensuite facilities, consisting of a washbasin and w.c. All room sizes comply with the amended National Minimum Standard. There are four assisted bathrooms, with either bath seats or specialist baths and four wc facilities separate to those in the ensuite. Communal facilities include a dining room, a lounge/dining room and two smaller lounges. Although nursing and residential individual bedrooms are separate, all residents can use any of the communal facilities. An occupational therapist has assessed the home and recommendations that were made have been followed. The home aids and assisted facilities to facilitate the care of residents. All rooms have a lockable drawer facility and care plans have evidence of those residents who wish for keys to these and also evidence of whether the resident wishes for a lockable door. Keys are given if wished under the auspices of a risk assessment. Water temperatures from resident’s hot water outlets are recorded and fall within recommended parameters. All rooms have restricted windows, adjustable temperature controls, and adequate furniture, with all nursing rooms having adjustable height beds. Rooms have been personalised with residents’ own possessions and have curtains, carpets and bed linen that are fit for purpose. The manager should ensure that drawers are not labelled with resident’s names as this can give an institutional atmosphere to the room. There are policies and procedures relating to the control of infection and all staff have received training in this. All parts of the home are very clean and odour free. All staff wear protective clothing both for care and when for serving or preparing food. Staff stated that there were always plenty of gloves and aprons available. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are employed in sufficient numbers with suitable training to meet the assessed needs of the residents in the home. There is a robust recruitment system in place, which ensures that residents living at the home are safeguarded. EVIDENCE: The duty roster showed that there were sufficient care and ancillary staff employed over a twenty-four hour period to meet the assessed needs of the residents. Staff spoken with said that they rarely use agency staff, that they are busy but never over stretched and that the home was ‘almost always fully staffed, with staff willing to cover if someone went off sick’. Staff turnover is low with the majority of the staff having worked at the home for a number of years. All staff, including ancillary staff undergo a full formal induction programme, the manager states that they are considering implementing the ‘core standards for care’ induction pack. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 22 Registered nurses have an induction training local to the home and spend their first few shifts shadowing existing registered nurses. Two of the registered nurses have completed training in the Liverpool gold standards framework and some registered nurses have undertaken phlebotomy training. All grades of staff have undertaken further training relevant to the needs of residents living at the home, which is delivered by health care professionals with specialist knowledge in these areas. Staff stated that they identify their own training needs, which are discussed at supervision and the appropriate training then accessed. Staff have undertaken all mandatory health and safety and fire training. Ten care staff (52 ) have either their National Vocational Qualification level 2 or 3 in care, with other staff studying for this qualification. A total of six personnel files were examined which included both new and longstanding staff. All were found to have all the documentation and checks as required by the Regulation 19 and schedule 2. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Management systems currently in place protect the safety and well being of residents, staff and visitors in the home. The home operates a robust quality monitoring system, which uses the views of residents and the results of the auditing system to improve the service and care offered to residents. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 24 EVIDENCE: The registered manager Mrs Anita Redwood has owned and managed the home for 20 years. She is an RGN Level 1 and has completed her registered managers award. The ethos within the home is good, staff turnover is low and all residents and visitors spoken with made very positive comments about he home and the staff. These included the following: ‘…. Good home, staff are good. ’ ‘Very nice place to live’… ‘… They have done so much for my wife’…’I cannot speak too highly of it, always a nice friendly atmosphere’ The home operates a quality monitoring system, which includes questionnaires being sent out to relatives, residents and health care professionals. Audits of the care, catering, medication and maintenance of the home take place at regular intervals throughout a twelve-month period. Information gained from these is collated and used to influence and improve the service provided. An annual development plan is in place. Staff and residents are informed of the outcomes of CSCI inspections. The providers are working towards their Investors in People award Staff meetings are held at regular intervals and minutes of these were seen. Staff receive formal supervision but supervision of some members of staff is becoming overdue, the manager is in the process of addressing this. Financial matters relating to the business were not examined at this inspection. The public liability insurance was seen and is in date. The home has no dealings with any of the service users finances and does not keep any money for service users. Records are kept of any valuables handed over for safekeeping. All policies and procedures have been reviewed on a regular basis and reflect current practice in the home. All certificates relating to the servicing of utilities and equipment were in place and in date. All staff have received mandatory training including fire training and fire drills and eight members of staff hold a first aid certificate. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 25 The manager is in the process of completing a new fire risk assessment and was aware of the content of the recent fire orders. At present all doors are kept closed but the provider has purchased door closures, which will automatically close the doors in the case of fire. These are to be put on the doors of those residents that nursing staff have identified that wish to have their doors open, and were in the process of being fitted. All certificates relating to the servicing of utilities and equipment were in place and in date. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 26 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 1 2 3 4 5 6 Score ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 4 4 4 3 3 3 3 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X 3 3 3 3 Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 27 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. Standard Regulation Requirement Timescale for action 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 OP9 OP12 OP15 OP24 Good Practice Recommendations That the practice around administration of medication in the residential area is examined. That the activities programme is displayed to inform service users of the planned activities That a daily menu is displayed in dining rooms to assist service users’ recall. That staff are made aware of the importance of presentation of liquidised meals. That consideration is given to the removal of any labels from service users drawers to prevent institutionalisation. Arundel Park Lodge Arundel Park Lodge.doc Version 5.2 Page 28 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Lodge Arundel Park Lodge.doc Version 5.2 Page 29 - 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!