Inspection on 08/11/05 for Ashley Arnewood Manor

This inspection was carried out on 8th November 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 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 14/09/06

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 Keith Hopkins Unannounced Inspection 8th November 2005 13:00 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.V262003.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 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) 01425 611 453 SCOFIL Limited Mrs S Rawlins Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th April 2005 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 DS0000012404.V262003.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three and a half hours were spent visiting the home, during which time the opportunity was taken to look around the building, view records and policies and to talk to the manager, and with two other staff on duty in private. Most of the residents were observed making use of communal areas and their bedrooms, and one person was seen to make use of facilities in the garden. Three residents were spoken with in private. What the service does well: What has improved since the last inspection? What they could do better: The home needs to continue with its programme of redecoration to improve the physical environment in communal areas. Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for this group of standards were not inspected on this occasion as they were inspected on the previous inspection. EVIDENCE: Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 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): Outcomes for this group of standards were not inspected on this occasion as they were inspected on the previous inspection. EVIDENCE: Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Residents enjoy varied lifestyles and undertake activities of their choice. Residents appreciate the provision of a wide range of opportunities for stimulation, through sound links with the local community. EVIDENCE: At the time of the inspection several residents were relaxing in the lounge, whilst others had chosen to spend time in their bedrooms. The inspector also noted residents variously making use of the smaller ‘quiet’ lounge and other communal areas of the home. One resident said that she particularly ‘liked the entertainers’ and further that she ‘liked watching animal programmes’ on her private television, activities which were recorded in her care plan. An exercise class was provided on a regular basis and care documentation examined confirmed residents’ partaking in this, and also the fact that one resident chose not to partake. Residents spoken with confirmed the extent to which there were choices over everyday activities, one saying, for example, that he could ‘choose to use the dining room or not’. Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 Page 11 Communion was provided in the home on a regular monthly basis and was reported to be well attended, the inspector also being informed by the manager of an instance where this had been provided privately for a resident. Aromatherapy and hand massage is provided on a weekly basis, and reminiscence therapy has just commenced, the intention being that this is undertaken monthly. Bingo is occasionally provided for those residents interested. The inspector noted plans for Christmas, which included a residents and relatives buffet lunch on 17th December. Visitors to the home are made welcome and offered refreshments, and although the inspector was not able on this occasion to speak with any visitors he saw staff deal with a visitor in a friendly and welcoming manner. The home’s menus were examined and were varied, the inspector being informed that other than one gluten free diet, there was currently no need for the preparation of any other special diets. An alternative to the planned menu for all meals was available at residents’ request, and individual likes and dislikes were recorded in the care plans and known to staff. One resident said that the food was ‘good’ and that he had particularly enjoyed that lunchtime’s meal. He also confirmed that he chose to have breakfast in his own room. Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18. The home has a suitable complaints procedure, which residents are aware of and feel able to use. Residents are protected through an adult protection policy and procedure known and understood by staff. EVIDENCE: The home has a complaints policy and procedure, copies of which are provided to residents on their admission to the home. A more recently admitted resident confirmed this directly to the inspector, adding that he had also signed a contract on admission. There was also a copy of the complaints procedure on display prominently in the hallway. All three residents spoken with privately said that they knew how to complain if they needed to, but all said that they had ‘no complaints’. The home’s complaints book was examined and an instance noted where a resident had complained about the timing of the drink provided in the evening. This had been resolved through providing the person with a drink at an earlier time. There have been no complaints for the home to deal with since the most recent inspection. The home also has a policy and procedure relating to adult protection. Staff have been trained in this and when interviewed confirmed their understanding of what to do in the case of suspected abuse. One staff member, for example, said that she would record what she saw and inform the manager. Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 Page 13 Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 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): 20. Comfortable and accessible indoor and outdoor facilities are available to residents, which could be enhanced through redecoration. EVIDENCE: Residents were seen to be making use of both lounges, which were adequately furnished. A resident also used the patio to the rear of the building during the inspection. The inspector was informed of plans to ‘freshen up’ communal areas through redecoration. Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 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 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): Outcomes for this group of standards were not inspected on this occasion as they were inspected on the previous inspection. EVIDENCE: Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 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 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. The home is well managed with residents having a clear and accessible means of influencing policy and practice. Financial interests are safeguarded and residents’ welfare is promoted through sound policies and procedures. EVIDENCE: The manager has a considerable number of years experience in a senior capacity, and has recently completed the Registered Managers Award. There are clear lines of accountability within the home and to external senior company staff, whom the manager said were supportive. The inspector saw ‘Service User Satisfaction Questionnaires’ completed by residents, as a part of the home’s quality assurance programme, which confirmed satisfaction with the services offered. Residents spoken with also all commented on how nice the home was, and are also consulted formally Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 Page 17 regarding the services offered, by way of Service Users Meetings. The most recent of these had taken place on 27th October 2005. The meeting had considered items such as entertainment, meals, activities and the home’s environment. There was evidence that issues raised were to be addressed. 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 records and receipts kept in respect of two residents and noted that these tallied accurately with monies held securely for safekeeping. A 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. The home has a laundry procedure and the washing machine is capable of disinfecting soiled items. A sample of policies and records required by regulation were inspected and were in order and up to date. 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.V262003.R01.S.doc Version 5.0 Page 18 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 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 X 2 X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X 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.V262003.R01.S.doc Version 5.0 Page 19 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. Refer to Standard Good Practice Recommendations Ashley Arnewood Manor DS0000012404.V262003.R01.S.doc Version 5.0 Page 20 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. 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