Inspection on 05/05/05 for The Alton Centre

This inspection was carried out on 5th May 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

The Alton Centre 04/11/08

The Alton Centre 08/10/08

The Alton Centre 08/10/07

The Alton Centre 20/06/07

The Alton Centre 07/06/06

The Alton Centre 12/12/05

The Alton Centre 16/11/04

The Alton Centre 14/07/04

The Alton Centre 25/05/04

The Alton Centre 13/02/04

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

CARE HOME ADULTS 18-65 Arkwright Centre Irchester Road Knuston Spinney Wellingborough NN29 7EY Lead Inspector Linda Preen Unannounced 5th May 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Arkwright Centre Arkwright Centre Version 1.10 Page 3 SERVICE INFORMATION Name of service Arkwright Centre Address Irthlingborough Road Knuston Spinney Wellingborough Northants NN29 7EY 01933 413646 01933 413664 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) Active Care Partnerships Limited Vacant Care Home with Nursing 34 Category(ies) of PD Physical Disability (34) registration, with number of places Arkwright Centre Arkwright Centre Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16th November 2004 Brief Description of the Service: The home povides care for 31 physically disabled adults between the ages of 18 and 65 years. Accommodation is mainly provided over three floors and is in single rooms with ensuite facilities.Six residents have their own self contained bungalows in the grounds but attend the main house for meals and activities.Adaptations such as ceiling hoists and mobility aids are provided according to assessed needs. The home is situated in a small village, close to two local towns and their amenities. Transport is provided in the form of two minibusses. Arkwright Centre Arkwright Centre Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a period of five hours as part of the statutory inspection programme. Three residents were chosen in order that their experience in the home could be monitored. This included looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff records, staff training records, Complaints and accident records were seen. 5 comment cards had been received from residents and information was available from a questionnaire completed by the providers of the service. What the service does well: What has improved since the last inspection? All residents have up to date assessments on which to base their plans of care. The Statement of Purpose has been reviewed to ensure that the relevant information is available to enable residents to make an informed choice about moving into the home. Contracts have been issued to all residents setting out their terms and conditions of residency. Several areas of the home have been redecorated and a continued programme of refurbishment and redecoration is in progress to ensure that residents have a bright, homely place in which to live. Recruitment processes have been improved to ensure residents are protected from harm, and staff training and induction has been updated to provide a high standard of care to the residents. Systems are in place to ensure that resident’s complaints are dealt with speedily in an efficient manner. Arkwright Centre Arkwright Centre Version 1.10 Page 6 What they could do better: 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. Arkwright Centre Arkwright Centre Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Arkwright Centre Arkwright Centre Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 and 5 Information is available to enable prospective residents to make an informed choice concerning moving into the home. EVIDENCE: A Statement of Purpose is available with the required information. Copies of this were on display in the reception area of the home. A comprehensive pre-admission assessment was available for new admissions to the home, and the project manager had updated this information for those residents who had been in the home for some time. All residents have been issued with new contracts and terms and conditions, but four are still to be returned following their signature. Arkwright Centre Arkwright Centre Version 1.10 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 and 9 Resident’s plans do not always reflect their needs. The ethos of the home encourages residents to live as independent life as possible and respects their wishes. EVIDENCE: Comprehensive care plans were available for the 3 residents chosen to case track; however some of these plans and risk assessments were contradictory. For example: one resident was recorded as having a urinary catheter on one page but was then recorded as being incontinent of urine and wearing pads on another. A second resident had two pressure ulcer risk assessments on file with two separate scores. Both of these had been regularly reviewed at monthly intervals, and recorded as being ongoing. A requirement was made in this respect. Residents are encouraged to be as independent as possible. One resident stated that she goes into the local town by taxi, but reported that she had difficulty making herself a drink in the main house, as the sink was difficult to access with her wheelchair. The company have currently got new kitchen equipment on order to address this problem. Residents meetings are held and a new menu has been introduced taking into consideration their requests. Arkwright Centre Arkwright Centre Version 1.10 Page 10 Arkwright Centre Arkwright Centre Version 1.10 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16 and 17 Residents are encouraged to lead as independent lifestyle as possible appropriate to their age group and individual interests. EVIDENCE: Residents spoken to were enthusiastic about visiting the local bowling alley on the previous evening. One resident stated that she had been doing a painting in the activities room that morning, and another said she enjoyed doing crosswords. Records of activities provided are available in the home, and two activities co-ordinators are employed to facilitate this. Tresham College provide courses in computers and also cookery in the home. Visitors are welcome at any time, and residents are enabled to go into the community with the use of two minibuses. One resident is looking forward to a trip to Lourdes in a few weeks time, which has been organised by a local charity. Menus seen demonstrated that food provided is varied and has a good nutritional content. Residents spoken to confirmed that the standard of food was good. Meals are served at large tables in the dining room or in individual rooms according to choice. The lunch on the day of the inspection looked and smelled appetising and was served in good portions. Arkwright Centre Arkwright Centre Version 1.10 Page 12 Arkwright Centre Arkwright Centre Version 1.10 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Residents are given choice concerning their care and all appeared well cared for. EVIDENCE: Residents files checked had signed records of their agreement to their care plans, times of rising and retiring and diet. They were observed to be sitting in the various lounge areas, their own rooms, or in the activity area according to individual choice. Records demonstrated visits by the General practitioner and Professions Allied to Medicine. One resident spoken to confirmed that she is receiving physiotherapy in order to improve her mobility following a Cerebro Vascular Accident. Two residents were having a lie in at the time of the inspection and would get up later. Arkwright Centre Arkwright Centre Version 1.10 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Systems are in place to protect residents from abuse and to ensure that their complaints and concerns are dealt with in an efficient manner. EVIDENCE: A copy of the complaints procedure was on display in the reception area of the home. Records of the investigation and outcome of complaints were seen to be satisfactory. One resident spoken to confirmed that her concerns about a change in equipment had been dealt with in a satisfactory manner and that she was now happy with the equipment provided. A member of staff spoken to was aware of the types of possible abuse and of her responsibilities to report any suspicion or incidences. Arkwright Centre Arkwright Centre Version 1.10 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28 and 30 Residents live in a safe homely environment, suited to their individual needs. EVIDENCE: A limited tour of the environment was undertaken. A new carpet has been fitted in the entrance hall and downstairs corridor. The main lounge and dining area have been redecorated and new floor covering fitted. Evidence of ongoing maintenance and redecoration was seen. The company has plans to replace the bedroom furniture in the near future. Resident rooms showed evidence of personalisation. Small items of furniture, pictures and ornaments were on display as well as personal music and television systems. Wheelchairs and other mobility and handling aids were available as needed. Residents at risk of pressure ulcers were provided with pressure relieving mattresses and cushions. All areas of the home seen were clean and tidy. Arkwright Centre Arkwright Centre Version 1.10 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,34 and 35 Residents are protected by robust recruitment policies and are cared for by well-qualified staff. EVIDENCE: In addition to the eight 1st level registered nurses employed, 10 care staff hold a National Vocational Qualification certificate. The project manager has a training matrix in order that statutory and other training may be monitored and updated as needed. The staff member spoken to confirmed that updates in fire and moving and handling were currently being provided. A poster advertising forthcoming training for abuse, Protection of Vulnerable Adults, whistle blowing, cross infection and pressure area care in the next few weeks was seen. A selection of staff files seen, demonstrated that the information required by Schedule 2 of the Regulations was available in order to protect the residents. Duty rotas demonstrated that the high use of agency staff is no longer necessary, as there are currently no staff vacancies in the home. Arkwright Centre Arkwright Centre Version 1.10 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 39 The home is managed in a way that puts the residents interests first. EVIDENCE: There is currently no Registered Manager in the home, but a member of the company’s management team has been overseeing the home whilst recruitment is ongoing. She has worked hard to comply with previous requirements made at inspection, and this is reflected in the reduced number of requirements now made. Staff stated that they feel well supported, and residents were observed to be relaxed and comfortable in her presence. Residents and staff meetings have been held in order that their views may be obtained in the arrangements for running the home. Arkwright Centre Arkwright Centre Version 1.10 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 Standard No 11 12 13 14 15 Arkwright Centre Arkwright Centre 3 3 3 3 3 Standard No 31 32 33 34 35 36 Version 1.10 Score x 3 x 3 3 x Page 19 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x Arkwright Centre Arkwright Centre Version 1.10 Page 20 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 6 Regulation 15 Requirement A review must take place of all resident plans to ensure that contradictory information is removed. Timescale for action 7/6/05 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 Good Practice Recommendations Arkwright Centre Arkwright Centre Version 1.10 Page 21 Commission for Social Care Inspection 1st Floor, Newland House Campbell Square Northampton NN1 3EB 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 Arkwright Centre Arkwright Centre Version 1.10 Page 22 - 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!