Inspection on 27/01/06 for St Armand`s Court

This inspection was carried out on 27th January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St Armand`s Court 04/02/09

St Armand`s Court 27/02/07

St Armand`s Court 21/06/05

St Armand`s Court 09/11/04

St Armand`s Court 25/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE St Armand`s Court 25 Church Lane Garforth Leeds West Yorkshire LS25 1NW Lead Inspector Paul Newman Unannounced Inspection 27th January 2006 09:45 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 St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 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. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Armand`s Court Address 25 Church Lane Garforth Leeds West Yorkshire LS25 1NW 0113 287 4505 0113 287 5591 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) Garforth Residential Homes Limited Mrs Jaqueline Hobman Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2005 Brief Description of the Service: St. Armands Court is a care home owned by Garforth Residential Homes Limited, and is situated in Garforth, a suburb of Leeds. The manager is one of the Directors of the Company. The home provides personal care and support to forty older people. Nursing care is not provided but the home is supported by local healthcare services. The home is purpose built, all rooms are single occupancy, and the grounds include gardens, car parking and the companys sister home, The Hollies. The home has two passenger lifts and communal facilities include a conservatory, two lounges and dining room. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, regulated care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was unannounced and took place on the 21 June 2005. There have been no further inspections until this unannounced visit. The people who live in the home prefer the term resident, and this is the term that will be used throughout this report. The purpose of this inspection was to gain an overview of the care, services and facilities provided and also to assess progress in the way the home is dealing with issues that were raised in the last inspection report. During the inspection records were looked at, some parts of the home were seen, such as bedrooms, lounges and bathrooms; care staff were seen carrying out their work; conversations were held with the manager, three other members of staff and five residents. Survey cards were left at the home for residents, relatives or visitors to complete and return to the Commission for Social Care Inspection (CSCI). These cards provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way will be shared with the provider without revealing the identity of those who replied. The inspection started at 09:45 and lasted for two hours. Not all National Minimum Standards were inspected during this visit, but over the two inspections all core standards have been inspected at least once. To gain a full picture of how the home meets standards, this report should be read in conjunction with previous reports. What the service does well: What has improved since the last inspection? St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 6 A dispute with the Local Authority about money owed to the home was settled prior to the home taking the matter to Court. This means that the home is now in a position to address some outstanding matters to do with the building and intends to make other improvements. The staff training programme continues and this includes standardised induction and foundation training, National Vocational Qualifications and some more specialised subjects. 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. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 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 St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 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. Standard 6 does not apply to this home. Residents’ needs continue to be properly assessed before they move into the home. Well informed and knowledgeable staff meets these needs. EVIDENCE: Three care plans were checked. A detailed pre-admission assessment for each of the residents was on file and the information was accurately used to form the basis of a care plan. The staff spoken with had a good knowledge of the residents care needs and their personal preferences. Residents said that the staff are very caring. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 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 and 10. Care plans provide staff with clear, and up to date information and guidance to follow. Staff are aware of residents’ needs and treat residents with dignity and respect. EVIDENCE: Three care plans were checked. Records were detailed, gave clear instructions and guidance to staff, and were up to date with regular monthly review. The plans are person centred and identify personal preferences and preferred lifestyles. Medical needs are clearly identified and daily record keeping showed treatment or support from other healthcare professionals. Risk assessments were clear, reviewed regularly and up to date. As was previously the case, residents said that staff gave them good support, gave assistance when they needed it and respected their privacy like knocking bedroom doors before entering. Observations throughout the visit showed staff to be professional but personable with residents and relatives. The relationships were warm and friendly. Residents looked well cared for. Staff were observed to manage the residents sensitively. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 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): These standards were not inspected but all met requirements at the previous inspection. EVIDENCE: St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 11 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. Residents feel comfortable in raising concerns on a day-to-day basis and have access to a formal complaints procedure that is clear. Staff are trained in understanding and recognising abuse and there are clear procedures for them to follow. EVIDENCE: There is a complaints procedure that is clear. This is appended to the statement of purpose and service user guide and is also posted on notice boards in the home. Residents said that they feel comfortable in talking to staff about things that worry them and felt that staff listen to them and put things right. There are adult protection policies that link to multi agency procedures and there is a whistle blowing policy. These policies were reviewed in June 2005. Staff spoken with confirmed that they receive training on abuse and know that the policies and procedures are there to be followed. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 12 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 and 26 The home is safe and well maintained and offers comfortable communal lounge areas. Bedrooms suit personal needs, can be personalised with your own possessions and made private. The home has aids that make things like bathing and toileting easier. EVIDENCE: All the communal areas and some bedrooms were seen. The bedrooms were personalised with residents’ personal belongings to make them more homely. No health and safety hazards were noted and staff were seen doing their work properly dressed and equipped, and their practices make sure the home is clean, free from unpleasant smells and hygienic. A dispute with the Local Authority about money owed was settled prior to the home taking the matter to Court. This means that the home is now in a position to replace carpets in the communal areas and intends to make other improvements including extensive redecoration, reupholstering of chairs and replacement of other furnishings. It is also intended to take out two baths and replace these with showers so that residents can be offered a choice. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 13 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, 29 and 30. There is a good core of experienced and well trained staff who know what they are doing. Recruitment policies and procedures make sure that staff are properly selected and vetted before they start work. EVIDENCE: The staff spoken with were confident and had a good knowledge of the residents they care for. Although there has been some recruitment, there is a core of established and experienced staff who have worked at the home for a considerable time. All talked about training that they had been involved with and this covered key areas of safe working practice and National Vocational Qualifications (NVQ’s), as well as more specialised training like pressure area care and dementia. The company continues to employ a training coordinator whose role is to make sure that the staffs’ training is up to date and in line with the National Minimum Standards that are set. There are well established systems of staff meetings and shift handovers that make sure that up to date information is passed. The personnel files for two newly appointed staff were checked and found to have all the required documentation. This shows that proper recruitment procedures are followed that make sure staff are properly checked and vetted before they take up appointment. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 14 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): 33 and 35. There is an open and friendly atmosphere created by good leadership and management. There is a clear approach to resident care that is person centred and puts the best interests of individual residents central to staff practice. Residents’ financial interests are safeguarded. EVIDENCE: The inspection fell the day before the manager was going on annual leave. Suitable arrangements had been made for the homes management in her absence. The manager continues to be ‘hands on’ to make sure there is personal ‘on the job supervision’ and checking, as well as the established formal supervision system for the staff team. The staff and residents appreciate her management style. The home conducts an annual satisfaction survey that will be due in May 2006. This involves questionnaire surveys being sent to residents, relatives, staff and professional visitors. The last survey results were formulated into a report and an action plan made for any improvements that were identified. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 15 The atmosphere in the home was warm with a lot of good humour. Staff were busy and their relationships with the residents were good. Lockable facilities are provided in each bedroom so that individuals can keep cash and valuables. The home does not become involved in residents’ personal finances preferring this to be done personally by the residents, or by a relative or other representative like a solicitor. Any additional services that are received like hairdressing are invoiced monthly or paid for personally by the resident. St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 16 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 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? YES 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 OP19 Regulation 23 Timescale for action Carpets in communal areas must 01/08/06 be replaced. This matter is outstanding from the inspection of November 2004. The Commission has is extended the timescale because of unusual circumstances. Requirement 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 OP12 Good Practice Recommendations Further efforts should be made to introduce a range of activities that suits all residents living in the home. When finance permits, the recruitment of a person to specifically organise activities should be considered. Not inspected in detail on this visit and recommended in the inspection report of 21/06/05 St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 St Armand`s Court DS0000001497.V278186.R01.S.doc Version 5.1 Page 19 - 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. 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