Inspection on 09/07/08 for The Ark Care Lodge

This inspection was carried out on 9th July 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Ark Care Lodge 20/09/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 The Ark Care Lodge 94/96 Evington Lane Leicester LE5 5PP Lead Inspector Linda Clarke Unannounced Inspection 9th July 2008 10:45 The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 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 The Ark Care Lodge DS0000067773.V368183.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 Adults 18-65. 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. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Ark Care Lodge Address 94/96 Evington Lane Leicester LE5 5PP 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) 0116 2736950 0116 2736950 jaz_ark@hotmail.com Ark Care Lodge Limited Vacant Care Home 18 Category(ies) of Learning disability (18) registration, with number of places The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Ark Care Lodge is to operate two separate units each accommodating nine individuals under category LD, each with its own designated staff team The maximum number of persons to be accommodated within The Ark Care Lodge is 18 20th September 2006 Date of last inspection Brief Description of the Service: Ark Care Lodge provides personal care and support for up to eighteen people who have a Learning Disability. The home is situated on a main road in Evington with access to community facilities including banks, shops, places to eat and a Post Office, there are good public transport links, and the bus journey to Leicester City Centre would take approximately 10 minutes. Care parking is available at the front of the home. The home comprises of two large semi detached houses, with no internal access between the two houses; each house provides a home for nine people. Each house has an open plan lounge and dining room overlooking the large rear garden, and a kitchen with a door leading onto the garden. The ground floor of the houses have one bedroom, with all other bedrooms being located on the first floor of the houses, fourteen bedrooms have a full en-suite facility, with two bedrooms having an en-suite comprising of a toilet and wash hand basin, the two remaining bedrooms sharing a bathroom. At the bottom of the garden, there is an activity centre for people living at the home to take part in recreational activities. Information is located on site detailing the range of services offered, which includes the Statement of Purpose. Ark Care Lodge has copies of the Commission of Social Care Inspections (CSCI), Inspection Reports, and are available upon request. The current weekly fee is £340.00, which was provided by the Manager at the time of the site visit. An individual’s financial contribution to their care is dependent upon a financial assessment. Inspection reports regarding the Home are available and can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. ‘We’ as it appears throughout the Inspection Report refers to ‘The Commission for Social Care Inspection.’ The inspection process consisted of pre-planning the inspection, which included reviewing the Annual Quality Assurance Assessment (AQAA), which is selfassessment tool completed by a representative of the service, reviewing previous Inspection Reports, and any information we have received. We sent surveys to ten people who use the service of which nine were returned and we sent surveys to two Care Managers and two Health Care Professionals of which one Health Care Professional Survey was returned. The unannounced site visit commenced on the 9th July 2008, and took place between 10:45 and 18:15 The focus of the inspection is based upon the outcomes for people who use the service. The method of inspection was ‘case tracking’. This involved identifying people with varying levels of care needs and looking at how these are being met by the staff at Ark Care Lodge. Three people accessing services were selected. Discussions were held with two peoples whose records were viewed, along with three other people who lived at the Home. What the service does well: People living at Ark Care Lodge live an active and varied life, accessing various community facilities, for both education and recreation. People living at the home are encouraged to be independent and make choices about what they wish to do, and how they want to live their lives. • • • “I go swimming and to the gym.” “I went to Spain in May and had a really good time.” “I visit my parents some weekends, and sometimes they come and see me.” People who live at the home share in the household chores, such as shopping and cooking if they want to. A multi cultural staff team, which is reflective of the people living at the home, enables people to be supported about aspects of their culture, promoting their equality and diversity. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 6 Ark Care Lodge has a relaxed atmosphere and we saw positive interaction and support by staff to people living at the home, people openly conversed about their day, forthcoming events, and were reassured where appropriate. People we spoke with said they were happy living at the home. Relatives of people living at the home are welcome to visit. Ark Care Lodge is well-maintained, and a majority of bedrooms include ensuite facilities, there is a large rear garden, and at the bottom of the garden is a recreational facility, for people to participate in group activities such as a game of pool or a game of darts. The surveys that we received from people who live at Ark Care Lodge had been completed with support, we do not know who provided the support. All surveys indicated that people like living at the home, and that they make decisions about what they do each day. Surveys revealed that people know how to make a complaint and that staff listen and act upon what they say and treat them well. We received on survey from a General Practitioner, who indicated positive comments to questions, and made some comments as to what they felt the service did well. • • • • • • Well organised Clear communication Clean Caring Treating residents as individuals Holistic care What has improved since the last inspection? What they could do better: Care plans need to be available in a format that the person can understand, and should include information about all aspects of a persons lifestyle, choices, aspirations and goals, and be written and reviewed with their involvement. Staff should access courses on the writing of Person Centred Care Plans to ensure that people living at the home are fully supported. The Manager of Ark Care Lodge needs to ensure that people living at the home are involved in the day to day running of the home as much as possible, by The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 7 providing people with opportunities to influence the care they receive, to include their involvement in the recruitment of care staff and by seeking their views about the care they receive. The rights of people living at the home need to promoted by ensuring that staff receive training on how to protect people from harm or abuse, and by people who live at the home having information about advocacy services. 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. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving into the home have access to information about the services provided, and have an opportunity to visit before moving in, and can be confident there needs will be assessed to ensure that the home is best suited to them. EVIDENCE: Ark Care Lodge provides written information to people about the home, such as the facilities it offers, staffing arrangements, the local area, activities and leisure facilities. The documents are written in large print and include signs and symbols to help people to understand what it says. People who are thinking about moving into residential care at Ark Care Lodge will have their needs assessed by a Social Worker, the assessment will be used by Social Services and the Manager of the home to ensure that the home can meet the persons needs. Before moving into the home, people are encouraged to visit the home to meet the people that live in the home and the staff, visits are flexible and can The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 10 include overnight stays as well as day visits, this gives people an opportunity to see if the home will be suitable for them, and whether they will get on with people who already live at the home and the staff that work there. Two people we spoke with said that one of the reasons they have moved to Ark Care Lodge was because it was close to their family and they could visit. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s choices, aspirations and goals are not recorded within care plans, and there involvement in the day-to-day running of the home needs further development to promote their independent lifestyle. EVIDENCE: We looked at the care plans of three people living at Ark Care Lodge, care plans were basic, and did not provide an accurate account of the care and support that people who live at the home receive. Care plans need to be developed to include the goals and aspirations of the person, and reflect a holistic approach to care, by considering all aspects of a persons daily life. Care plans should be person centred, in that they are written from the perspective of the person, and give a detailed account as to how the person wishes to be supported, the role of staff in offering support and focus on The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 12 specific areas of need, consideration needs to be given to the equality and diversity of a person. People living at the home in some instances had additional care plans which were developed by specialist health care professionals, whose role is to support people at difficult times of their lives, and help them and the staff to improve the quality of their life and manage difficult situations well. Discussions with people living at the home and observations evidenced that choice is promoted, one person said that they had a review with their Social Worker and family later in the week, and that the meeting was “about me, and what I want”, they went onto say that they were looking at joining a particularly club which was of interest to them. Opportunities for people living at the home to be involved in the day to day running of the home could be improved, by encouraging and providing time for them to be involved in the recruitment of staff, by gaining there views about the home, and by being involved in the development of information and procedures which helps them to express their views and opinions, such as an accessible complaints procedure which is produced in a format that helps people to understand their rights. Risk assessment are in place which provide information on how risks to people can be minimised whilst enabling and supporting them to engage in activities which have an element of risk. One person had a risk assessment about what measures needed to be put into place to so that they could do there own ironing. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Ark Care Lodge access a range of education and leisure activities that promotes and facilitates their independence and lifestyle choices. EVIDENCE: We spoke with people who live at Ark Care Lodge and they told us about their daily lives. One person said, “I’ve finished a catering course at Leicester College and I’ve got a job in a kitchen, which starts after the summer holidays, I also iron one day a week at another care home.” They went onto say “I’ve been swimming today with my mum, sometimes I go to the gym with my mum or with staff, I’m trying to loose weight and get fit”. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 14 Someone else told us “Last year I did a painting and decorating course at Leicester College, and after the summer I hope to do a bricklaying course.” They also told us “I went to Spain on holiday this year, and went in the sea, we went out to shows at night, and I had a good time.” We spoke with several people and asked them about their family and friends, they told us “My dad comes to visit me, and sometimes we go out.” “My mum visits me and sometimes I stay with her at weekends.” “My parents visit, as they live close.” We spoke with people about whether they get involved in the household chores, they told us – “I cut the lawn.” “I like to help in the garden.” “I like to help get the meals ready.” “I help with the housework, I iron and wash up, and I clean my room once a week.” In the evening of the site visit everyone was going to a local football club, for a chip supper and activities. Several people we spoke with said that they were involved in different clubs, and played pool and joined in arts and crafts. There is a building at the rear of the home in the garden, which can be used for activities, such as playing pool and darts. The home has a mini-bus, which enables people who live at the home to access the community easily. Several people said that they had been to Spain and had enjoyed there holiday, and one person said that they were looking forward to their holiday in Somerset. The atmosphere of the home was relaxed and friendly, and people who live at the home spoke with staff throughout the day, laughed and joked and discussed issues affecting them, staff offered support and guidance where needed, and had a good understanding of the needs of people living at the home. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 15 Two people helped staff prepare the evening meal, which was cheese and potato pie, both said that they liked to help and that they went to the local supermarket to help by the groceries. The menu for the week is planned, and in the main is a vegetarian diet, with meat choices being available on some days during the week, the people who live at the home reflect a diverse cultural mix, and the menu reflects specialist diets required. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People residing at Ark Care Lodge have access to a range of health care services and professionals, who ensure their healthcare needs, are met. EVIDENCE: A majority of the people who live at Ark Care Lodge have an en-suite facilities which includes a shower and/or bath, for others they have access to a shared bathroom, personal care is provided by care staff for those who need help. Care plans do not reflect in detail the support people who live at the home need with their personal care, and who is to deliver the care. We observed that the staff group reflects the diverse and cultural backgrounds of people living at the home, and this is confirmed in the homes brochure, which provides information about the service it provides this would enable personal support to be provided by someone of the same cultural background if this was required, this is not however reflected in the care plans of people. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 17 We looked at the records of people living at the home, and noted that people attend Dentist and Doctor’s appointments as and when required, in some instances people are supported by specialist services such as a Physiotherapist and ‘Outreach’ services. The care plan of one person was supported by an additional care plan drawn up by ‘Outreach’ a specialist health service team who provide assessment and short term support when a person is having difficulties in expressing themselves resulting in challenging behaviour, the plans provides guidance for staff in supporting the person. The medication and medications records of three peoples whose records we looked at were viewed and were found to be in good order, staff that administer medication have access a course on the safe handling of medicines. We received one survey completed by a General Practitioner, responses to questions in the survey indicated that the G.P. is happy with the care people living at the home receive, and states that people are respected and have their privacy and dignity promoted. The G.P. says that staff have the right skills and experience to support people in their care, and that people are supported to live a life of their choosing. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s ability to express a concern or complaint is limited by the information made available to them with regards to their rights, and by the limited training staff have received about protecting people from abuse. EVIDENCE: Ark Care Lodge has a complaints procedure but this is not in a format appropriate to all the needs of people living at the home, the home needs to ensure that people understand their rights and know how they can raise a concern or make a complaint within the home. The home has a phone, which people who live at the home can use, and some people have a mobile phone, this enables people to contact someone if they are unhappy or are worried about something. People at the home could be further supported by being provided with information as to how they can contact advocacy services or their Social Worker if they want to talk to someone who isn’t a member of staff or a relative. The open and friendly atmosphere of the home enables people who live there to talk to staff about any concerns or problems they have, in addition some people living at the home have regular contact with a family member, which provides another avenue for discussing any concerns they may have. The care plans of some people we viewed, included ‘one to one’ time, which is set aside The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 19 to provide opportunities to discuss issues, to enable people to manage their anxieties. We have not received any concerns or complaints about Ark Care Lodge, and information provided by the Manager states that the service has received one complaint within the last twelve months, which was not upheld. In some instances staff have attained a National Vocation Qualification in Care (NVQ), part of the qualification looks at how people who are vulnerable could be at risk of abuse, and the forms the abuse may take. In order that people living at the home are protected from abuse, all staff should undertake training so that that they are confident as to there roles and responsibilities in alerting people to any concerns they may have about the care of people living at the home. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Ark Care Lodge live in a homely and well-maintained environment, which is suitable to their individual and collective, needs. EVIDENCE: Ark Care Lodge is decorated to a good standard, and is clean and comfortable, people who live at the home have personalised their bedrooms to a style of their choosing. The home comprises of two semi-detached houses, with no internal access between the two properties. On the ground floor each house has one bedroom, an open plan lounge and dining room with patio doors leading into the garden, both houses have a kitchen with a back door into the garden. Access between the two houses is via the backdoor and walking outside and the garden. Lounge areas have a television, and comfortable chairs for relaxing. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 21 All other bedrooms, of which a majority have a full en-suite consisting of a toilet, wash hand basin, shower and/or bath are located on the first floor, bathing and shower facilities are available on the first floor for those bedrooms that do not benefit from an en-suite. The home has a large rear garden; at the bottom of the garden is a building that is used for activities such as pool and darts. The garden has a lawned area, beds for plants and a large patio with tables and seating. People who lived at the home told us that they cut the lawn and like to help with the garden, whilst someone said that they hang their washing outside to dry, this information is not detailed within the care plans of people living at the home. The home provides a domestic scale laundry, and one person living at the home said that staff help them with their washing, but that they do there own ironing. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 22 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are enthusiastic and employed in sufficient numbers that enables people who live at the home to live an active lifestyle. EVIDENCE: The home currently employs care staff of which 73 have attained a National Vocational Qualification (NVQ) in Care; this means that people who live at the home are being supported by staff that has an understanding about their roles and responsibilities in providing the appropriate care to people. We observed people who live at the home, and staff interacting throughout the site visit, there was a positive and inclusive atmosphere, and staff were able to support people as they required, the cultural and diverse staff group which reflects the cultural mix of people living at the home, would enable people to be supported as they wish, however the care plans of people we viewed did not identify how people are supported in a way which promotes and supports their equality and diversity. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 23 We looked at the rota, there is a minimum of two staff on duty in each house, and the staff rota reflects that the hour’s staff work is flexible to support the individual and collective needs of people to access local community resources. We looked at the recruitment records of three members of staff, the records confirmed that the home has a robust recruitment process which promotes the safety and welfare of people who live at the home, all staff have to provide two good references and have a satisfactory Criminal Record Bureau (CRB) disclosure before commencing work at the home. People who live at the home are not involved in the recruitment of staff, and this is an area that could be improved, to ensure that people who receive care and support receive this from people they are confident with and like. We viewed the training records of staff, these evidenced that staff receive training in topics which relate to the promotion of health and safety, additional training which promotes peoples choices, equality and diversity would help staff in the development of care plans and accessing services for people who they support. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 24 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management and development of the home is limited in that quality assurance systems and the involvement of people in the day to day running of the home has not been maximised. EVIDENCE: Ark Care Lodge has a Manager who has been in their current position for a year, prior to this they worked at the home as a member of care staff. The Manager has attained the Registered Managers Award, and advised us that they intend to submit an application to us, the Commission for Social Care Inspection to become the Registered Manager. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 25 Prior to the site visit the Manager submitted the homes AQAA, which is a selfassessment tool, the AQAA was not comprehensive and did not reflect the service the home provides, nor did it provide information on the development of the service, for the benefit of people who live at the home. The home needs to develop a quality assurance system, which includes seeking the views of people who live at the home, and others who provide support, to enable the home to review the service it provides and ensure that people who live at the home continue to receive a good level of care and are supported to lead a lifestyle of their choosing. We looked at the records of three people who live at the home, in some instances records reflected where peoples behaviour had been challenging, and in some instances how this had affected other people who they live with, this information should have been reported to us the CSCI. Information supplied by the Manager in the AQAA details that the home is run in a manner which promotes the health, safety and welfare of people living at the home by the ongoing maintenance and checks to systems in the home, including electrical appliances and fire equipment. The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 26 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. 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 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 2 2 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X 2 3 X The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 27 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 YA6 Regulation 15 Requirement People living at the home to have a care plan which reflects an holistic approach to care, and details all aspects of their daily lives, including their aspirations and goals. The care plans should be developed and reviewed with the person, and be made available in a language and format that the person understands. People living at the home to be provided with a complaints procedure, which is in a format appropriate to their needs. All staff to attend training, which enables them to understand the types of abuse that vulnerable people, are at risk from, and their role and responsibility in responding to and reporting abuse. A quality assurance system to be developed which includes seeking the views of people who live at the home and those that provide support to ensure that the service continually develops to improve the life of people living at the home. DS0000067773.V368183.R01.S.doc Timescale for action 09/12/08 2 YA22 22(2) 09/10/08 3 YA23 13(6) 09/12/08 4 YA39 24 09/10/08 The Ark Care Lodge Version 5.2 Page 28 5 YA41 37 Incidents as required by Regulation 37 to be reported to the CSCI 09/08/08 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 2 3 4 Refer to Standard YA6 Good Practice Recommendations Staff who have responsibilities for the development and reviewing of care plans would benefit from attending a course on how to write a Person Centred Care Plan. People living at the home to be provided with information about advocacy services. People living at the home should be encouraged and be provided with the tools to be involved in the recruitment of staff. Staff who work at the home to access training that provides them with information and understanding that enables them to promote the rights, equality and diversity of people in their care within the wider community. YA22 YA34 YA35 The Ark Care Lodge DS0000067773.V368183.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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