Inspection on 14/09/06 for Ashley Arnewood Manor

This inspection was carried out on 14th September 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

Ashley Arnewood Manor 09/09/08

Ashley Arnewood Manor 08/11/05

Ashley Arnewood Manor 05/04/05

Ashley Arnewood Manor 17/12/04

Ashley Arnewood Manor 21/04/04

Ashley Arnewood Manor 16/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Ashley Arnewood Manor 32 Ashley Road New Milton Hampshire BH25 6BB Lead Inspector Peter J McNeillie Unannounced Inspection 14th September 2006 09:30 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 Ashley Arnewood Manor DS0000012404.V310987.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. Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashley Arnewood Manor Address 32 Ashley Road New Milton Hampshire BH25 6BB 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) Category(ies) of registration, with number of places 01425 611 453 SCOFIL Limited Mrs S Rawlins Care Home 20 Dementia - over 65 years of age (20), Old age, not falling within any other category (20) Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Ashley Arnewood Manor is a privately owned and run care home is set in a residential area close to local amenities and New Milton town centre. The home residential care for up to 20 elderly residents including persons with dementia. Bedrooms are situated on two floors ground and first floors with a chairlift between floors. A variety of aids and adaptations have been provided which enable residents to move about more independently. Eighteen of the bedrooms are single, two of these having an en suite toilet. There are three communal toilets and a bathroom on the ground floor, and three toilets and two bathrooms on the first floor. There is a garden to the rear of the building easily accessed by residents. At the time of the fieldwork visit to the home on 14/09/06, the home’s fees ranged from £327 to £425 per week. This did not include the cost of hairdressing; newspapers; chiropody and dry cleaning and personal toiletries. Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the inspection, which took place between 9:30am and 2:30pm, the inspector spoke with a number of resident’s, the registered manager and staff on duty. Evidence was also gathered from a tour of the building, reading residents assessments/care plans, staff recruitment/ training records and equipment servicing records comments by management/staff, observations, reports to C.S.C.I. under regulation 26 and a pre inspection questionnaire provided by the homes Registered manager. What the service does well: What has improved since the last inspection? There were no areas identified for improvement following the last inspection.. Since the last inspection the hallway has been decorated and re-carpeted, a new boiler fitted and a number of bedrooms redecorated/refurbished in accordance with a maintenance programme. Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 6 What they could do better: 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. Ashley Arnewood Manor DS0000012404.V310987.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 Ashley Arnewood Manor DS0000012404.V310987.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): 3 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home has a system of assessing and identifying residents needs which ensures residents safety and their assessed needs can be met. EVIDENCE: A sample of three residents records were viewed. These confirmed persons were only admitted on a planned basis following a assessment of need and risk by the manager or another member of the senior staff who visits the potential resident in their own home or in hospital. Reports from external health care professionals including GPs, geriatricians, continence advisors, physiotherapists, occupational therapists and care managers when available also contribute to the assessment process. Comments and signatures by residents confirmed they or their representatives were consulted during the assessment process. Dates on the assessment records confirmed assessments of need and risk for all residents are reviewed on a regular basis. Intermediate care is not available in the home. Ashley Arnewood Manor DS0000012404.V310987.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 and 10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The arrangements for planning care are ensuring that the health, personal care and medication needs of residents are met and their privacy and rights respected, however plans need to be more detailed to include specific guidance to care staff how identified care need will be met. EVIDENCE: A sample of three residents records were viewed, four residents spoken to on a one to one basis and a number of others spoken to in groups. All of the residents spoken with expressed total satisfaction with the care they were receiving and the manner in which it was delivered. They also confirmed they were consulted about the contents of their individual care plan and the assessments on which the plan was based. All were aware they could view their plan at any time. Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 10 The inspector highlighted to the manager, to improve the support to residents plans need to be more detailed to include specific guidance on how identified care needs will be met. E.g. how “support” will be given, ”What help” is needed when dressing . A verbal undertaking was given all plans would be reviewed urgently and amendments made. Care plans which were reviewed monthly apart from containing guidance on be met also contained information relating to special needs how identified needs including or when restrictions e.g. use of bed sides had been agreed. Residents confirmed any personal care was given in private, staff always knocked and waited before entering their bedroom. The inspector observed this practice. Residents are able to make and receive telephone calls in private. A number of residents had made arrangements to have their own phone installed. Files seen and comments made by staff confirmed consultation with a range of external health care professionals e.g. doctors, district nurses, community psychiatric nurses, geriatricians, and continence advisors take place. Other specialists would be consulted on a needs basis. All resident’s drugs and medicines which are securely stored are administered in accordance with the homes medication policy and procedure by trained staff and procedure including recording the administration and disposal of unwanted drugs records of which were viewed. Residents spoken to confirmed they were happy for the home to administer their medication but were aware they could administer their own drugs if they wished. Staff confirmed residents or their representatives were free to choose their own GP. Any restriction on choice with regard to a GP was outside the control of the home. Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 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. 13. 14. 15. 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 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The social activities, family contacts and the provision of varied and nutritious meals were well managed and reflected service users interests and choices. EVIDENCE: Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 12 Residents in praising the quality of their day-to-day lives were very complimentary about the homes staff, management and all other aspects of living in the home. From comments and observations made by the inspector formed the view that routines were arranged to meet the needs of the residents and not the needs of the home/staff. All residents confirmed they were able to exercise choice in respect of all aspects of their day-to-day lives. Eating their meals in their own rooms, bedtime’s ,flexible mealtimes, visiting or receiving relatives/friends in private were examples given by residents as evidence of exercising personal choice. Residents are free to join in any in house activities, which include aromatherapy, gentle exercise, bingo, P.A.T dogs, and visiting special entertainers are available . many of the activities on offer are designed so that the more frail and people in the DE(E) category can also join in. Residents praised the quality, quantity, choice and presentation of food, which is provided .The inspector witnessed the preparation of the midday meal and would confirm the excellent manner in which the food was presented. A menu based on resident’s likes and dislikes and nutritional needs was available as were choices to the main dish. Special diets are catered for, currently one resident is on a gluten free diet. Tea, coffee and snacks are available at all times. Ashley Arnewood Manor DS0000012404.V310987.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 and 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home has clear policies and procedures in place which ensures residents are protected from abuse. The complaints procedure was satisfactory with evidence that residents feel their views will be acted upon. EVIDENCE: A policy/procedure that operates in tandem with the policy and procedure produced by Hampshire County Council designed to protect vulnerable residents from abuse was available as were records to confirmed all staff had received training .Staff spoken with confirmed they had had received training in recognising abuse and what to do should they witness or suspect the abuse of any resident. The complaints procedure, which was also included in the service users guide included information on how to contact The Commission for Social Care Inspection (C.S.C.I), was seen, as was record of complaints both of which were available in the entrance hall. Residents spoken to stated they felt comfortable in discussing any concerns they had with the homes management and confident any matters raised would be dealt with fairly and promptly but made it clear to the inspector “They did not have concerns”. Ashley Arnewood Manor DS0000012404.V310987.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): 19,22 and 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. A safe, well maintained, clean and suitably furnished home is provided for service users which meets their needs. EVIDENCE: A tour of the building indicated that it was fit for its stated purpose, accessible, safe, well maintained and meeting resident’s individual and collective needs. Furniture was comfortable and homely and in keeping with the decor. All areas of the home were accessible to residents including the well-tended garden. Residents commented how satisfied they were with the accommodation. Following specialist assessments, a number of communal and personal aids have been provided. These include handrails, ramps, bath hoists, raised toilets, raised chairs lifts and special beds. Since the last inspection the entrance hall has been redecorated and re-carpeted a new boiler fitted and a number of bedrooms refurbished in accordance with the homes maintenance schedule. The inspector witnessed a bedroom being decorated at the time of the inspection. The home was clean, hygienic and free from adverse odours. An infection control policy and procedure was in place as were washing machines equipped with high temperature and sluicing programmes. Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 15 Ashley Arnewood Manor DS0000012404.V310987.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 and 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Residents needs are met by sufficient numbers of well trained and supported staff who are recruited and selected using a procedure designed to protect all service users. EVIDENCE: Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 17 Residents were full of praise for their carers adding, “nothing was too much trouble” ”they always seem to know what to do” ” appear well trained,” lovely girls”. The care staff confirmed that the availability of good support, training, good working conditions and regular supervision assisted them in providing a prompt, efficient and caring service to residents who also confirmed this view. The staff rota, which was inspected, indicated that four staff was available in the morning dropping to two in the evening prior to the night staff commencing work. Residents confirmed “The staff are very helpful”, ”We never have to wait. The manager confirmed staffing levels are closely monitored to reflect the needs of residents and would be increased if the need arose. To ensure resident safety and well being all staff are recruited and selected in accordance with a homes recruitment and selection policy and procedure which involves, the completion of an application form, an interview the signing of a rehabilitation of offenders declaration and satisfactory Criminal Bureau Records (C.R.B.), Protection of Vulnerable Adults (P.O.V.A), medical checks, reference checks, identity checks, and if appropriate work and resident permit checks, prior to the commencement of employment. Very comprehensive records of pre employment records as listed above were seen. On commencement of employment all staff who are issued with copy of the official care code of conduct are subject to an in house induction course followed by a Skills for care formal induction programme. Records of both sets of training were viewed. Following induction and a probationary period all staff are expected to participate in National Vocational Qualification (N.V.Q.) training programme. Currently 1 manager, 12 care staff and 3 ancillary staff(including an administrator)are employed. 16.7 of care staff has been trained to N.V.Q level2 with a further 33.3 undertaking N.V.Q. training. In addition two members of staff hold a non-British nursing qualification. Apart from the above training all staff are involved in additional training covering the administration of medication, food hygiene, moving and handling, first aid health and safety, infection control and the protection of vulnerable adults, dementia care and any other subjects as determined and agreed during regular one to one supervision. Staff spoken to expressed the view they felt well trained and were confident in when carrying out their day to day tasks. Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 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. 32. 33. 34. 35. 36. 37. 38. 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): 31,33,35 and 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The management of the home ensures the health, safety and welfare of residents and staff are promoted and the home is run in the best interests of the residents whose views about living in the home are formally sought. EVIDENCE: The registered manager has a considerable number of years experience in a senior capacity, and has completed the Registered Managers Award. There are clear lines of accountability within the home all staff were fully aware of there responsibilities. The manager informed the inspector that external management were very supportive and receptive to ideas that improved efficiency and the quality of life for residents. The inspector viewed responses to a ‘Service User Satisfaction Questionnaires’, as a part of the home’s quality assurance programme, which confirmed satisfaction with the services offered. All residents spoken with also commented on how nice the home was, and confirmed they were consulted regarding the services offered, by way of Service Users Meetings . Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 19 The inspector was also shown an action plan drawn up by the manager to address any points raised by the questionnaire. The home’s manager confirmed that some assistance was given to a number of residents in dealing with day-to-day spending and that monies were held on behalf of some residents. The inspector examined a sample of records and receipts which reconciled with individually labelled monies held securely for safekeeping. Two resident confirmed that clear information had been made available regarding fees prior to his entering the home. The inspector observed no immediate obvious hazards to health and safety during the inspection. Cleaning materials and chemicals were securely stored and staff had access to information requiring to be held under COSHH regulations. Protective clothing and gloves were available to staff for use when necessary. The home has a health and safety policy, a copy of which is given to new staff. Staff spoken with showed an awareness of the need to attend to health and safety matters or to report these to the manager for action. Professional fire risk assessments have been carried out in tandem with regular staff health a/safety and fire training (records seen) and inspection of fire safety equipment. Staff spoken to confirmed they were aware of the procedure to follow in the event of fire including evacuation. A sample of policies and records relating to the servicing of equipment used within the home agreed with the information provided by the manager in the pre inspection report, this included the home’s fire and accident books. There were no records of a confidential nature on display in any of the public areas of the home. Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 X 18 3 3 X 3 3 X X X 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 X 3 X 3 X X 3 Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 21 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. 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. Refer to Standard Good Practice Recommendations Ashley Arnewood Manor DS0000012404.V310987.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Ashley Arnewood Manor DS0000012404.V310987.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. 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!