CARE HOMES FOR OLDER PEOPLE
Ashley Arnewood Manor 32 Ashley Road New Milton Hampshire BH25 6BB
Lead Inspector Keith Hopkins Unannounced 05.04.05 10:00 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. Ashley Arnewood Manor Version 1.10 Page 3 SERVICE INFORMATION
Name of service Ashley Arnewood Manor Address 32 Ashley Road New Milton Hampshire BH25 6BB 01425 611453 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) SCOFIL Limited Mrs S Rawlins CRH 20 Category(ies) of DE(E),OP registration, with number of places Ashley Arnewood Manor Version 1.10 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 17th December 2004 Brief Description of the Service: Ashley Arnewood Manor is set in a residential area close to local amenities and the town centre. It provides residential care for up to 20 elderly residents, some of whom may have dementia. The home is on ground and first floors and there is a chairlift between these. There are a variety of aids and adaptations to allow 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. Ashley Arnewood Manor Version 1.10 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over two days. On the second day four hours were spent visiting the home. The opportunity was taken to look around the home, view records and policies and to talk to three staff and several residents, three of whom were spoken with at length in private. There were several visitors to the home at the time of the inspection including a district nurse. What the service does well: What has improved since the last inspection? What they could do better:
The manager was asked to ensure that medicines are securely stored at all times. Whilst the redecoration of the office is taking place the temporary
Ashley Arnewood Manor Version 1.10 Page 6 arrangements for storing confidential records need to provide sufficient security. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashley Arnewood Manor Version 1.10 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 Ashley Arnewood Manor Version 1.10 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) 3, 4 and 6. The admission process is well managed with an assessment of needs being done to ensure these can be met. Residents are given clear information regarding the service. EVIDENCE: A resident recently admitted for intermediate care said that she knew which room she was to have when entering the home, and was hoping to return to her own home in the future. Three care management assessments, made before the residents concerned were admitted to the home, were examined and contained a good level of detail. Residents have the opportunity to read and sign these if they wish. The service users guide given to residents at the time of admission includes a quality assurance form. Ashley Arnewood Manor Version 1.10 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 and 10. Residents are looked after well in respect of their health and personal care needs. Further attention needs to be given to the security and storage of medicines. EVIDENCE: Care plans contain a good level of detail, and are signed by residents if they wish. They include information regarding access to specialist health care staff, such as a dentist and an optician, and are reviewed every month. During the inspection a district nurse was attending to a resident’s health care needs in private. The manager took immediate action when a lack of security of storage of medicines was pointed out. An item that had been placed on top of the drugs cupboard was put in it. Observation during the inspection showed that staff have a good awareness of how to protect residents’ privacy and dignity. They were seen to knock on
Ashley Arnewood Manor Version 1.10 Page 10 doors and await a response before entering and spoke to residents in a respectful way. Ashley Arnewood Manor Version 1.10 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) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Ashley Arnewood Manor Version 1.10 Page 12 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) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Ashley Arnewood Manor Version 1.10 Page 13 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, 20, 22, 23, 24, 25, and 26. A comfortable and safe standard of accommodation is provided for residents. EVIDENCE: The home is well maintained and suited to residents’ needs. It is decorated and furnished to a standard that creates a comfortable and homely ambience and there is a programme of redecoration and refurbishment in place. There is a chairlift between ground and first floors. There is a lounge with a dining area on the ground floor, another lounge with T.V., and further small sitting room which may be used to entertain visitors. The home’s kitchen has been subject to a complete refurbishment and a dishwasher has been provided. Staff spend less time on domestic duties and as a result a wider choice of meals for residents is now provided. One resident said ‘ the new handrail is useful’ and another said ‘the radiator covers are handy for putting pictures on’. Residents’ bedrooms looked homely,
Ashley Arnewood Manor Version 1.10 Page 14 as they had been able to bring items of their own furniture and possessions with them. All areas of the home smelled pleasant and were cleaned to a high standard. Ashley Arnewood Manor Version 1.10 Page 15 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 and 29, Staff at the home are well trained and supported and employed in sufficient numbers to meet residents’ needs. EVIDENCE: One resident said ‘there’s always someone to help you’ and another said ‘the staff are nice’. Staff were observed during the inspection to be providing assistance to residents in a calm and unhurried manner. The staff rota indicated there to be four carers on duty and a staff member said that generally there were enough staff on duty. Three staff records examined indicated a sound recruitment process which included the obtaining of references. New staff undertake induction training, and there is a training record sheet for each staff member. Ashley Arnewood Manor Version 1.10 Page 16 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) 37. Residents’ best interests are safeguarded but attention needs to be given to ensuring confidentiality of records. EVIDENCE: There is a Quality Assurance policy together with a comprehensive Health and Safety policy. During the renovation of the office records had been moved to a less than secure area of the home. Ashley Arnewood Manor Version 1.10 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 3 x 3 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 x 13 x 14 x 15 x
COMPLAINTS AND PROTECTION 3 3 x 3 3 3 3 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 x x x x x x x x x 2 x Ashley Arnewood Manor Version 1.10 Page 18 No 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 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. Refer to Standard 37 Good Practice Recommendations It is recommended that the home reviews security of records during the renovation of the office to ensure that confidentiality is maintained. Ashley Arnewood Manor Version 1.10 Page 19 Commission for Social Care Inspection 4th Floor Overline House BlechyndenTerrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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