Inspection on 04/12/07 for The Arches

This inspection was carried out on 4th December 2007.

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 Arches 24/11/09

The Arches 04/12/08

The Arches 11/12/06

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE The Arches The Arches 11 Priory Road Cottingham East Riding of Yorks HU16 4RR Lead Inspector George Skinn Key Unannounced Inspection 4th December 2007 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 DS0000067117.V355992.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. DS0000067117.V355992.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Arches Address The Arches 11 Priory Road Cottingham East Riding of Yorks HU16 4RR 01482 842222 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) Mrs Lota Hopewell Mr Derrol Paul Hopewell Mrs Samantha Sutcliffe Care Home 39 Category(ies) of Dementia - over 65 years of age (39), Old age, registration, with number not falling within any other category (39) of places DS0000067117.V355992.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th December 2006 Brief Description of the Service: The Arches is located in Cottingham close to Hull and not far from local amenities, transport and shops. The home is currently registered for 39 and looks after older people including those with dementia. The accommodation is situated on two floors; a passenger lift provides access to the first floor as well as two staircases. One double room is available, and the rest are single including eighteen which have en suite toilet facilities. The home has three lounges and a separate dining room. There is a car park to the front and pleasant secure garden to the rear of the home with paved pathways, seating areas, lawn and pond. Some rooms have patio doors leading directly onto the garden; all service users are able to sit out during the summer months. The current scale of charges is minimum £340.00 with a variable top up, up to a maximum £395.00. DS0000067117.V355992.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection has used information from different sources to provide evidence. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered provider on an Annual Quality Assurance Assessment (AQAA). Comment cards returned from service users, relatives and staff. A visit to the home carried out by one inspector. A site visit was carried out which lasted 6 hours. Service users, relatives and staff were spoken with. Records relating to service users, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity within the home. The deputy manager was available to assist throughout the day. What the service does well: What has improved since the last inspection? The home has improved the way service users are occupied and stimulated; this is now recorded in their care plans. DS0000067117.V355992.R01.S.doc Version 5.2 Page 6 The home has improved the way complaints are recorded; a record is now made if the complainant is happy with the way the home has dealt with the complaint. The home has now got two hoists for the staff to use to help the service users. 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. The summary of this inspection report can be made available in other formats on request. DS0000067117.V355992.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 DS0000067117.V355992.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use this service experience good quality outcomes in this area. Service users needs are assessed prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are assessed prior to admission by both the management of the home and the placing authority. The manager gathers pre-admission information to establish if the home can meet the service users’ needs; this also ensures a thorough matching process is undertaken. The manager then undertakes another assessment once the service user had been admitted to the home; this involves the service user, their relative and relevant health care professionals. The home does not admit service users for intermediate care. DS0000067117.V355992.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use this service experience good quality outcomes in this area. All of the service users have a detailed plan of care. Service users have full access to health care professional on regular basis and when needed. Service users are protected by the home procedure on handling medication. Service users are treated with respect and their dignity is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A selection of care plans were looked at, these contained thorough assessments undertaken by the home and the placing authority. From these assessments a plan of care was formulated. The care plans identified areas of strength and areas which the service users needed help. Detailed recording of what action is to be taken and how to DS0000067117.V355992.R01.S.doc Version 5.2 Page 10 enable the service users to lead an independent life style was provided for staff to follow. The home continue to have in place arrangements for accessing support and advice from health service professionals including general practitioner, district nurse, community psychiatric nurse, dental, optical and chiropody services. Risk assessments are undertaken around areas of falls, tissue viability, nutrition and daily living. The risk assessments were updated every month and changes made were appropriate. Risk assessments are undertaken for the use of bed rails, these are in line with Department of Health Guidelines. Care plans are reviewed at least monthly by the home, sooner if service users’ needs change, and formally by the placing authority annually. There was written evidence within the service users’ records which indicated that they or their representative had agreed the care plans and that all interested parties are involved with reviews. Medication is appropriately stored and recorded. Only staff who have received medication training administer medications. There was no evidence available during the site visit which would indicate that the staff who administer medication have received training which is accredited. The home has a medication policy and procedure in place which includes self administration. At the last inspection it was identified that the lock on the controlled drugs cabinet door had broken, this has been repaired. Service users spoken with commented on how well they were cared for by the staff, comments included, “The staff are ever so good”, “The girls can’t do enough for you, they’re all very kind”, ”They are always there when you need them”. Staff spoken with demonstrated an understanding of maintaining service users’ dignity and observation confirmed that any personal tasks were undertaken in private. Staff spoke to service users appropriately using their preferred forms of address. DS0000067117.V355992.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience good quality outcomes in this area. Daily life and social activities generally meet the expectations of the service users living in the home. Service users are enabled to maintain contact with relatives Service users have control over their lives and can exercise choice. Service users receive a well balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users’ routines of daily living and interests are identified with them and their relatives and recorded as part of the daily living plan. The home provides a programme of activities for the service users to choose from, this includes Bingo, crafts, trips out and general games and activities in house. DS0000067117.V355992.R01.S.doc Version 5.2 Page 12 On the day of the site visit service users were observed to have good relationships with the staff. Conversation was relaxed and service users were obliviously used to this level of interaction. Some service users continue to have contact with the local community and were able to go out independently. There was a steady steam of service users coming into the dining room through the morning who had chosen to have a lay in. The home provides newspapers for the service users and these generated a lot of conversation about what was happening in the world at large. A telephone is available for service users to use in the entrance to the home, and a number of service users have their own telephone in their room. Visitors to the home are welcomed at any reasonable time. The home continue to provide food of a good quality, service users spoken with commented positively about the food provided commented included, “The food is very good”, “There is always plenty of choice, especially at tea time”, “They always give me food I enjoy”. Evidence in service users’ plans indicated that advice is sought from health care professionals regarding their diet when needed. DS0000067117.V355992.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience good quality outcomes in this area. Service users are confident that any concerns will be taken seriously and acted upon. Service users are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The CSCI have received no concerns since the last inspection. The home has a complaints procedure and this is displayed around the home. At the last inspection it was noted that the home did not record complaints effectively. This has been addressed and six (6) complaints have been recorded since the last inspection; the nature of the complaint, what the home did and whether the complainant was satisfied with the outcome was recorded. Service users spoken with confirmed they knew they could approach the manager if they had concerns. They were confident that any concerns raised would be taken seriously and acted upon. DS0000067117.V355992.R01.S.doc Version 5.2 Page 14 Staff spoken with during the site visit confirmed that they knew what to do if they suspected any abuse was occurring the home. All sated that they had full confidence in the manager and that she would take effective action. DS0000067117.V355992.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22 & 26 People who use this service experience adequate quality outcomes in this area. Service users live in a home which is well maintained, Lack of aids, for example handrails in the corridors, could put service user at risk. The home does not have enough toilets which are suitable to meet the service users’ needs. Service users live in a home which is clean. This judgement has been made using available evidence including a visit to this service. DS0000067117.V355992.R01.S.doc Version 5.2 Page 16 EVIDENCE: The home was generally well maintained and clean. There is an ongoing refurbishment programme and the handy man deals with any repairs as they arise. The service users’ rooms were comfortable and warm; they contained some items of furniture which the service users have brought with them. Communal areas were well maintained and clean, there was a selection of chairs for the service users to use these ranged from recliner chairs to more traditional armchairs. There were no grab rails in the corridors to assist those service users with poor mobility; one relative stated that this had resulted in her relative having a fall. Some service users and staff commented on the lack of toilets which were suitable for people who use wheelchairs or needed assistance. They commented that they had to wait for long periods of time, as the other smaller toilets were not big enough for them to use safely. Maintenance certificates were up to date. At the last inspection it was identified that some work was needed in the kitchen, this has been done. DS0000067117.V355992.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use this service experience adequate quality outcomes in this area. Service users are cared for by staff in enough numbers to meet their needs. Service users are protected by the home recruitment procedures. Service users are cared for by staff who have received basic training, this needs further development. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Evidence seen during the site visit confirmed that there are enough staff on duty to meet the needs of the service users. Five staff files were looked at including the most recently employed. All contained evidence of references being taken and checks being undertaken through the Criminal Records Bureau (CRB). Staff spoken with confirmed they receive induction training, this included safety aspects of the home and meets the Skills for Care specifications. Staff also confirmed that they had received some mandatory training, however this was out of date and needed updating. The home do not have system which DS0000067117.V355992.R01.S.doc Version 5.2 Page 18 indicates what training the staff have received or when training needs up dating. Staff receive regular supervision and development reviews, 50 are trained to NVQ level 2. DS0000067117.V355992.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use this service experience good quality outcomes in this area. Service users live in a home which is well managed and run in their best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has experience of managing a care home and has an NVQ level IV qualification in management and care. Staff and service users confirmed that the manager was approachable and supportive. DS0000067117.V355992.R01.S.doc Version 5.2 Page 20 There continues to be quality-monitoring (QA) systems in place to measure success in meeting the aims and objectives of the home; the home has parts I and II of the local authority quality development scheme. The home’s QA system included consultation with all stakeholders including GPs, Districts Nurses and other visiting health care professionals. From this consultation reports were developed which identified areas of development and improvement. At the last inspection it was noted that the registered provider was not making regular visits to the home required by virtue of Regulation 26 of the Residential Care Homes Regulations 2001, this has been addressed and reports were available for inspection. The home is not involved in the financial affairs of any service user; the service user or their representative manages these. All service users receive their full personal allowance to dispose of as they wish and records are kept for the management of the allowances. At the last inspection it was noted that the home had one mobile hoist, this has been addressed and two hoists are available for the staff to use. Maintenance certificates were up to date. DS0000067117.V355992.R01.S.doc Version 5.2 Page 21 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 2 2 X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000067117.V355992.R01.S.doc Version 5.2 Page 22 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. 1 Standard OP9 Regulation 13, 18 & 19 Requirement The registered person must ensure that the staff who dispense medication have received recognised accredited training. This will ensue the service users are protected by the staffs’ practice. The registered person must ensure that the service users are provided with sufficient toilets which met their needs. This will ensure the service users’ dignity and choice is maintained. The registered person must ensure that the home provides the equipment for the service users to move around the home safely this is especially with regard to grab rails in corridors. This will ensure the service users’ safety and eliminate risk. The registered person must ensure that there is a robust system in place to ensure the staff have received mandatory and specialist training as required and when this needs updating. This will ensure the staff are well equipped to meet the service users’ needs. DS0000067117.V355992.R01.S.doc Timescale for action 30/06/08 2 OP21 23 30/06/08 3 OP22 23 30/06/08 4 OP30 18 & 19 30/06/08 Version 5.2 Page 23 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 DS0000067117.V355992.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000067117.V355992.R01.S.doc Version 5.2 Page 25 - 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. 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