Care Home: Argyle Park

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What the care home does well Residents` have their care needs assessed before admission and then the information is used by the staff to write an individual plan of care. The care Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 6plans seen were detailed and provided important information that showed the staff the level of support and care the residents needed. Care documents had been reviewed regularly to ensure the correct information was recorded and to reflect any change in a resident`s condition. Residents and relatives felt that the staff provided a good standard of care. Residents interviewed said that they were well looked after and that the staff did all they could to help them. A resident said, "The care is very good and the staff answer the call bells quickly." A number of residents had very extensive care needs that require specialist care and support. This was not only provided by the staff but also by outside professionals who are contacted at the appropriate time. This was well documented in the care files that were examined. The home was maintained to a good standard and resident bedrooms were attractively decorated with personalise items brought in from home. There was an ongoing programme for general maintenance and decoration. Areas seen were clean and there was a good standard of equipment to help the residents, for example, moving and handling hoists, special beds and mattresses, hand rails and raised toilet seats. The lounge was comfortably furnished and the dining area had tables neatly laid for lunch. There is a hairdressing salon for resident use. There were sufficient numbers of staff care for the residents and the manager ensures they receive a good training programme so that the staff are properly trained. It was evident that the staff had knowledge and skills relevant to the care of the older person. New staff had been recruited safely and given an induction when they started. There was a very warm, friendly atmosphere and staff were seen spending time with the residents chatting freely to them whilst helping them. Staff did not appear rushed and were gentle in their approach. Mrs Sananas, the manager, was seen to provide good support to the staff, residents and relatives. A relative said, "The manager is very good and will always see me". The views of the residents and relatives are valued and they are encouraged to take part in regular meetings and/or to give their opinions of the service in a survey. Surveys seen were complimentary in all areas. A resident said the manager had provided certain foods when asked. The home is well managed in relation to health and safety. Checks of equipment and services had been undertaken and valid contracts were available for inspection. This helps to ensure the safety of people in the home. What has improved since the last inspection? The requirements from the key inspection in July 2007 and the pharmacy inspection in September 2007 regarding the need for safe medicine administration have been met. Medicines were being administered in accordance with the home`s policy and procedure. Checks by the manager ensure that residents receive the correct medicine and that staff are suitably trained and competent to administer them. What the care home could do better: If a medicine chart requires a hand written entry this should be undertaken by two staff to ensure authenticity of the entry and help protect the staff and resident. The majority of comments received regarding meals served were positive however some residents feel they could be improved with regard to choice and presentation. Resident and relatives` views regarding the standard of meals and choice of foods should be canvassed. This could be undertaken in the form of a survey to help establish whether changes need to be made to meals and meal times. CARE HOMES FOR OLDER PEOPLE Argyle Park 9 Park Road Southport Merseyside PR9 9JB Lead Inspector Mrs Claire Lee Key Unannounced Inspection 1st April 2008 08:45 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 Argyle Park DS0000017219.V360616.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. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Argyle Park Address 9 Park Road Southport Merseyside PR9 9JB 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) 01704 539001 01704 539001 argylepark@argyledevelopments.co.uk Mr Albert Marcel Zachariah Mrs Bernardine Sananes Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 31 Date of last inspection 9th July 2007 Brief Description of the Service: Argyle Park is a purpose built nursing home, which is situated close to Hesketh Park in Southport. The manager and staff provide nursing care to thirty one older people with varying needs. All bedrooms are single and have ensuite toilets. The bedrooms are spread over three floors with a passenger lift, which takes wheelchairs for those who are less able. Residents have the use of a large comfortable lounge with a designated dining area. There is also a hairdressing salon and well-equipped bathrooms with aids to assist those who require help to bathe. Residents have the use of a call bell when they require assistance. There is a small garden to the side of the premises and car parking space is also available. The weekly rate for accommodation is £510.00. Argyle Park DS0000017219.V360616.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 2 stars. This means the people who use this service experience good quality outcomes. A site visit took place as part of the unannounced inspection. It was conducted over one day for a duration of approximately eight hours. Twenty seven residents were accommodated at this time. A partial tour of the premises took place and a number of care, staff and health and safety records were viewed. Discussion took place with nine residents, one relative, three staff, the deputy manager and the manager. During the inspection three residents were case tracked (their care files were examined and their views of the service were obtained). This was not carried out to the detriment of other residents who also took part in the inspection. All the key and other standards were inspected during the site visit. Satisfaction survey forms “Have Your Say About …” were distributed to a number of residents, relatives and staff prior to the inspection. A number of comments received from surveys and interviews that were conducted are stated in this report. An AQAA (annual quality assurance assessment) was completed by the manager prior to the site visit. The AQAA comprises of two self questionnaires that focus on the outcomes for people. The self assessment provides information as to how the manager and staff are meeting the needs of the current residents and a data set that gives basic facts and figures about the service, including staff numbers and training. Information from the AQAA is included in this report. What the service does well: Residents’ have their care needs assessed before admission and then the information is used by the staff to write an individual plan of care. The care Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 6 plans seen were detailed and provided important information that showed the staff the level of support and care the residents needed. Care documents had been reviewed regularly to ensure the correct information was recorded and to reflect any change in a resident’s condition. Residents and relatives felt that the staff provided a good standard of care. Residents interviewed said that they were well looked after and that the staff did all they could to help them. A resident said, “The care is very good and the staff answer the call bells quickly.” A number of residents had very extensive care needs that require specialist care and support. This was not only provided by the staff but also by outside professionals who are contacted at the appropriate time. This was well documented in the care files that were examined. The home was maintained to a good standard and resident bedrooms were attractively decorated with personalise items brought in from home. There was an ongoing programme for general maintenance and decoration. Areas seen were clean and there was a good standard of equipment to help the residents, for example, moving and handling hoists, special beds and mattresses, hand rails and raised toilet seats. The lounge was comfortably furnished and the dining area had tables neatly laid for lunch. There is a hairdressing salon for resident use. There were sufficient numbers of staff care for the residents and the manager ensures they receive a good training programme so that the staff are properly trained. It was evident that the staff had knowledge and skills relevant to the care of the older person. New staff had been recruited safely and given an induction when they started. There was a very warm, friendly atmosphere and staff were seen spending time with the residents chatting freely to them whilst helping them. Staff did not appear rushed and were gentle in their approach. Mrs Sananas, the manager, was seen to provide good support to the staff, residents and relatives. A relative said, “The manager is very good and will always see me”. The views of the residents and relatives are valued and they are encouraged to take part in regular meetings and/or to give their opinions of the service in a survey. Surveys seen were complimentary in all areas. A resident said the manager had provided certain foods when asked. The home is well managed in relation to health and safety. Checks of equipment and services had been undertaken and valid contracts were available for inspection. This helps to ensure the safety of people in the home. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? 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. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 8 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 Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 9 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): Standards 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives had been provided with information regarding the service. Residents are admitted following an assessment so that the staff are able to ensure that care needs can be met. EVIDENCE: Residents interviewed said that they had received plenty of information regarding the home. The Service User Guide (an informative brochure) provides good information regarding the service and the manager is aware that this must reflect the current service in accordance with the guidance provided by the Commission. There have been no recent changes to this document. A new Certificate of Registration was sent to the owner in January 2008 however this was not on display. The manager was advised to rectify this. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 10 The manager completes an assessment of need for all residents who wish to be cared for at the home. Three care files were seen for residents who had been recently admitted and these evidenced good information with regard to health and social care. Care management assessments from social services and pre admission details from hospital were also on file to help provide a detailed background history of the resident. The assessments had identified key areas including, diet, mobility, personal hygiene, medical history, continence, risk of falls, social/family background, expressing sexuality, communication and mental state. The assessments recorded the level of help the resident needed and what they could do for themselves. Residents had been asked about their sight, hearing, chiropody and dental needs, which are so important to the care of the older person. A relative said, “The matron and staff took a lot of time to find out what care my wife needed and to make sure everything was right.” Likewise a resident reported, “It is not like my own home however the staff are helping me to settle in.” Standard 6 was not assessed, as intermediate care is not provided. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 11 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): Standards 7,8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health care needs were identified in a plan of care and medicines were administered safely to them. Residents were observed to be treated in a respectful manner. EVIDENCE: As part of the case tracking process three resident care files were examined for residents who had recently been admitted. An individual plan of care was available in each file and the information had been collated from the care needs’ assessment and by getting to know the resident. Care plans identified a number of health and social care needs, for example, mobility, diet, continence, communication, skin care, mood and relevant medical and social history. The information had been reviewed regularly to ensure it was sufficiently detailed and to reflect any change in the resident’s well being. The care plans were easy to read and staff said they were always available to them. The staff looked at and they recorded whether or not there Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 12 was any risk in relation to the residents developing pressure sores and also if they were at risk due to problems associated with eating and drinking, continence, falls or mobility. Staff had recorded the equipment to be used for moving a resident safely and the number of staff needed for each transfer. A resident was pleased with the exercise programme that staff had instigated following a physiotherapy assessment. Bed rails assessments seen did not show consent to their use by the resident and/or next of kin. The manager said these would be obtained. All three residents had extensive care needs and staff were recording each day the resident’s diet, continence management and positioning in bed to ensure maximum comfort. Wounds and pressure sores were well managed with specialist equipment available. No resident at this time required special care in relation to their cultural or religious beliefs. Care plans regarding sexuality recorded details regarding appearance and general well being. The staff complete a care record, which gives a detailed report of the care and support provided in accordance with the plan of care. Those seen reflected current care. Monthly health checks had been undertaken to ensure the resident was keeping well. Residents had been weighed to monitor any weight gain or loss. It is recommended that a girth measurement be recorded if a resident is frail and unable to use the weighing scales. Evidence was seen of appointments from outside health professionals including doctors and physiotherapists. Staff were aware of the importance of contacting the relevant person if external help is needed to ensure the resident keeps well. Comments from residents and relatives included: “Very good care” (resident) “The care is very good” (resident) “The staff work hard to help us” (resident) “I am pleased so far with the care” (relative) “Generally everything is done well caring and nursing” (relative) The key inspection in July 2007 raised concerns regarding medicine administration and therefore a Commission pharmacist undertook a pharmacy inspector on 20th September 2007. Requirements were made following this inspection and these have now been met. A number of medicine charts were examined and these showed that medicines were administered according to the prescription. A sample of medicines was counted and compared with the records to check that they were given at the prescribed dose. The registered nurses receive regular medicine training and Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 13 the manager had completed a competency assessment to ensure they had the knowledge to administer medicines safely. The manager carries out regular checks to make sure that medicines are handled in accordance with correct procedures. No issues had been identified in the checks seen. If a medicine chart requires a hand written entry this should be undertaken by two staff to ensure authenticity of the entry and help protect the staff and resident. Only one staff signature was evident at this time. Medicines including controlled drugs were correctly stored and safely locked away. Arrangements were in place for the safe disposal of unwanted (waste) medicines. The medicine trolleys and clinical rooms were both locked when not in use. No residents had been assessed as being able to administer medicines at this time. There are however risk assessments in place should a resident re quest this. By observing the staff working it was evident that attention was paid to ensuring the residents were treated in a polite manner. Staff took their time to give assistance with various aspect of personal care and also helping with meals. No one appeared rushed. A resident said, “The staff are polite and you only have to ask and it is done.” Residents appeared clean, comfortable and suitably dressed. Staff were seen knocking on bedroom doors before entering and speaking to residents in a quiet and respectful way. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 14 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): Standards 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were able to choose how they wish to spend their day and to join in with activities. Residents were served well-balanced meals to meet their nutritional needs. EVIDENCE: The manager and staff provide a warm caring environment and residents can decide how they wish to spend their day. Their preferred routine, social and dietary preferences were recorded in their plan of care. Two residents said they enjoy coming to the dining room for lunch and that staff assist them in plenty of time to ensure they are not late for their meal. Some residents stayed in their own room, which was their choice. Visitors were seen at the home at various times of the day and a relative said that the staff never mind what time you come in. A relative made the following comment in relation to what the care home does well, “Makes you feel welcome and a feeling that they really care not just for the resident but for me too. It is an extension of my home.” Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 15 Details of a local advocacy service were displayed and a request for an advocate was dealt with promptly at the time of the inspection. An activities organiser arranges a good range of social interests and two residents interviewed commented on the challenging card games, which they really enjoy. A relative reported that the staff play music to her husband, which he loves. A resident raised a request for different musical entertainment and this was passed to the manager for her attention. The activities organiser attends the home twice a week and a board was displayed in the lounge to show the entertainment programme. Card games, hangman, massages, musical entertainment, beetle drives, ‘deal or no deal’ and exercise therapy are organised. Prizes are awarded for a number of games. Dependency needs of the residents are currently high due to ill health and general frailty therefore not all residents are able to join in. One to one sessions are therefore arranged in resident bedrooms if appropriate. The activities organiser was on holiday at the time of the key inspection and staff were giving the ladies manicures. Residents had been given an Easter egg over the Easter weekend. A Holy Communion service took place during the inspection for residents in the lounge and also in their own bedrooms. This enables residents to continue with their chosen faith. Residents had brought in items from home to make their bedroom feel special and rooms seen were ‘homely’ and warm. A relative said this had been encouraged from the start. Varying comments have been received regarding the standard of the meals and these were discussed with the manager. A number of residents were very pleased with the meals and said meals were, “Good”, “There was plenty to eat”, “Served hot.” Where as some reported that hot meals were served on cold plates, the food had deteriorated and there was not a good enough choice. The menu is set over four weeks and was displayed in the dining room/lounge. This showed a good variety of hot and cold meals. An alternative is offered at each mealtime however this was not written on the menu. The cook said she knew what the residents like and would always provide another hot meal or salad on request. Two residents said they did not know what was for lunch and would like to have a menu in their own room. One resident reported, “It would be nice to see choice of meals written down as in turn I do not always understand/hear what a staff member is saying”. One resident had requested certain foods and this had been arranged straight away. In light of the varying comments received it would be beneficial to send out a survey to resident and/or relatives to ask them what they think of the meals and to help establish whether changes need to be made to meals and meal times. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 16 The kitchen was well stocked with different foods and there was a good supply of fresh fruit and vegetables. The dining area of the lounge was neatly laid for lunch and staff were observed to serve meals in a professional manner. Trays given to residents in their rooms were also attractively set. Staff wore aprons whilst serving food and helped residents in an unhurried manner. Hot and cold drinks were offered to residents during the day. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 17 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): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were confident their complaints would be listened to. Staff had been provided with good information as to what abuse is, thereby reducing the possible risk of harm to residents. EVIDENCE: The complaint procedure was displayed in the main hall and staff interviewed said they would always tell the manager or nurse in charge if a resident had a concern. Residents interviewed said they were happy with the care they are receiving. The AQAA and complaint log evidenced three complaints that had been received by the manager. Two had come to the attention of the Commission’s inspector and one of these complaints had been reported as a possible adult protection. Both complaints reported to the inspector were not upheld. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 18 Staff have received training in the concept of abuse and how to deal with an alleged incident. The training matrix (plan) evidenced course dates. There were policy documents regarding abuse and care of vulnerable adults in accordance with local guidelines. A staff member said that the abuse training was good and that they receive it regularly. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 19 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): Standards 19,20,21,22,23,24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident live in safe, comfortable and pleasant surroundings. EVIDENCE: Argyle Park is a purpose built home on three levels. Residents’ rooms are situated on all three floors and residents can get to their rooms by a passenger lift. There is also a staircase. The home was nicely decorated and furnishings and fittings kept to a good standard. There is an ongoing programme for maintenance and decoration. A number of bedrooms have recently been decorated and those seen had pleasant new colour schemes. The lounge is spacious and has comfortable armchairs. There is a dining area at the front of the lounge and plenty of room for residents to sit in comfort at the dining tables. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 20 The corridors are wide and bathrooms and toilets equipped with hoists and handrails to assist residents with their personal needs. The bathrooms were clean and hot water checks had been carried out by staff ensure the hot water to the baths was delivered at a safe temperature. The records seen were satisfactory. The home was warm and bright. Radiators had covers on to help minimise the risk of injury to the resident. Window restrictors were also in place. Resident bedrooms had cabinets with locks for the safe storage of personal items. Bedrooms seen also had plenty of pictures, ornaments and other possessions, which were important to the residents. A resident said they had needed special chair and this had been provided. The laundry rooms were tidy and infection control procedures adhered to with regard to care of laundry and clinical waste. Staff were seen to use anti bacterial hand gel. Emergency lighting is provided throughout the building and safety checks each month ensure this is working correctly. Records viewed were up to date. A number of residents commented on the good standard of cleanliness in their rooms and also that they liked their bedrooms. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 21 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): Standards 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents received care and support from trained staff who were recruited correctly. EVIDENCE: The staffing rota showed an accurate record of the number of staff on duty to assist residents with their individual care needs. The staffing numbers are provided according to the dependency needs of the residents. The manager was on duty with the deputy manager (who is also a registered nurse), six care staff, a cook, kitchen assistant, two domestics and laundry assistant. Positive comments from residents were received regarding the kind attitude of the staff and also the good level of care and support offered to them. During the inspection residents’ needs were seen to be met by hard working committed staff. Comments regarding the staff from residents and relatives included: “In particular senior staff very approachable” (resident) “I have confidence in the team particularly the leadership from the matron and her sisters” (resident and relative) “Very nice staff indeed” (resident) “They are very helpful an caring. Work very hard to please” (relative) Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 22 Three staff files were viewed for newly appointed staff. Staff had been recruited via robust procedures to minimise the risk of harm to the residents. Police checks and references had been obtained prior to appointment and staff had received a full induction in line with Skills for Care. This is to make sure that they understand what is expected of them and that residents are cared for properly and safely. A member of staff explained how she had been shown round the building and had worked with a senior member of staff when she started. The AQAA and training matrix (plan) showed that staff receive training in safe working practices. This includes moving and handling, first aid, health and safety, infection control, food hygiene and abuse awareness. The manager is currently updating the training matrix and is going to provide a copy of this year’s training schedule to the Commission. All staff recently completed a course in dementia awareness to help them have a better awareness of the condition and its management. Equality and diversity training was also arranged in 2007. The manager is looking to provide staff with courses in ‘care of the dying’, which are available through the local hospice. Staff interviewed said they receive regular training and that they receive good support with NVQs (National Vocational Qualifications) in Care at Level 2 and Level 3. The AQAA stated that over 50 have achieved a NVQ qualification. An NVQ assessor was visiting the home at the time of the inspection to review work completed by staff who are currently undertaking an NVQ. NVQs in catering and domestic service are also being accessed. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 23 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): Standards 31,32,33,35,37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the service was effective and current practices and procedures ensure the safety and wellbeing of the residents. EVIDENCE: Mrs Sananas is the registered manager and she is also a registered nurse with a current registration with the NMC (Nursing Midwifery Council). Mrs Sananas has completed NVQ Level 4 in Management and is also a moving and handling trainer. Mrs Sananas keeps herself updated with mandatory training and also completed the dementia care training with the staff in December 2007. Feedback regarding the manager was found to be positive. A resident said, “The matron is very helpful and easy to talk to”. Staff said the manager Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 24 arranges lots of training, is very supportive and will bring in agency staff if there is staff sickness or holiday cover needed. Mrs Sananas works supernumerary to assist with completion of managerial duties. A deputy manager and a full compliment of registered nurses support her in her role. The AQAA provided information on quality assurance process. The AQAA stated that the views of residents and relatives regarding the service provision had been obtained. Resident and relative surveys had been sent out last year to ask them what they think of the care and staff. Those seen reported favourably and the results had been collated for an external quality award for the home. Residents and relatives are also asked whether they would like to join in with regular meetings and minutes are taken. A resident said they attended a meeting recently, which they enjoyed. The manager also holds staff meetings and minutes seen covered a wide variety of topics. Staff said the manager was good at listening to new ideas and welcomed staff views. The owner conducts visits to the home and completes a report of his visit. The reports seen were brief but outlined the findings. Safe systems were in place with regard to monies held on behalf of residents. Records were available for expenditures made on their behalf. The AQAA stated that maintenance contracts were available for services and equipment. A spot check of the gas, electric, fire prevention equipment and moving and handling hoists showed that service contracts were valid. Fire prevention training had been given every six months to staff. Records showed that fire alarms were being tested each week and fire drills conducted. These measures help protect residents and staff in the event of a fire. Accidents that had affected a resident’s welfare had been recorded in the accident book and also in the resident’s care file. A recent entry seen provided staff with good detail of the nature of the incident and treatment. Equality and diversity is addressed through the initial assessment and within the plan of care. Staff were aware of the importance of understanding individual needs, preferences and wishes to provide good outcomes for the residents. Equality and diversity training was also arranged last year to promote an awareness of beliefs, culture, religion and gender. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 25 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 3 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 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 X X 3 Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 26 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 OP1 Regulation Sect. 28(1) (2) [CSA 2000] Requirement The service has been issued with an updated Certificate of Registration. This must be displayed in a conspicuous place and the old one removed. This is to ensure users of the service can be aware of the conditions in place in regard to the registration of the care home. Timescale for action 14/04/08 Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 27 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. Refer to Standard OP8 OP9 OP15 Good Practice Recommendations A girth measurement should be recorded if a resident is unable to use weighing scales to monitor weight gain or loss. If a medicine chart requires a hand written entry this should be undertaken by two staff to ensure authenticity of the entry and help protect the staff and resident. Residents should have a menu in their room and also be given a food survey to find out what they think of meals and meal times. Argyle Park DS0000017219.V360616.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston, PR2 2YQ 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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