Care Home: Arlington House Care Home

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What the care home does well People have effective assessments performed prior to moving into the home, to make sure their healthcare needs are recorded and can be met. Medication is well managed and residents are afforded appropriate levels of privacy and dignity. Recreational activities are provided and opportunities are available for residents to interact within the broader community. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Residents benefit from the provision of an appealing balanced diet and are able to have snacks and drinks as they wish. Complaints and concerns are effectively managed. A safe, well-maintained environment is provided which is pleasant, comfortable and clean throughout. Resident`s needs are met by the number of staff employed at the home and staff have received appropriate training. Recruitment practices are effective in promoting the safety of residents. The home is run and managed by a person who is fit to be in charge. Residents` financial interests are safeguarded and the health, safety and welfare of residents is promoted. Residents meetings are performed on a frequent basis to ensure residents can contribute to developments within the home. What has improved since the last inspection? Recruitment practices are now effective in promoting the safety of residents. Risk assessments are now completed for residents who wish to self administer their own medication. What the care home could do better: The current care planning process could benefit from being more "person centred" approach. The revised Nottinghamshire Safeguarding Adults policy could be made available to all staff within the home. Key inspection report CARE HOMES FOR OLDER PEOPLE Arlington House Care Home 7 Arlington Drive Mapperley Park Nottingham NG3 5EN Lead Inspector Steve Keeling Key Unannounced Inspection 15th June 2009 09:30 DS0000002186.V375865.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arlington House Care Home Address 7 Arlington Drive Mapperley Park Nottingham NG3 5EN 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) 0115 962 4397 0115 962 4397 Mrs Margaret Clarke Mr John Clarke Karen Margaret Clarke Mrs Margaret Clarke Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th August 2007 Brief Description of the Service: Arlington House is a large detached property, situated in a residential suburb of Mapperley Park, which has good public transport links to Nottingham city centre and there are local shops and a post office nearby. The house has been extended and converted to provide comfortable living accommodation for up to 18 older people. The home is set in landscaped and very well maintained gardens. The property is well decorated and comfortably furnished with a choice of lounge areas. The bedrooms are provided over two floors; there is no lift access between floors but a stair lift is in place for residents to access the second floor. . The homes current weekly fee range from £368 to £400 A copy of the last inspection report was available in the home. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspection undertaken by the Care Quality Commission is upon outcomes for residents who use the service and their views on the service provided. The process considers the providers capacity to meet regulatory requirements, minimum standards of practice, and focuses on aspects of service provision that needs further development. The main method of inspection used is called case tracking which involves selecting residents who use the service and looking at the quality of care they receive by speaking to them, observation, reading their records and asking staff about their needs. The registered manager and members of staff were spoken with as part of the visit; records relating to medication management were also inspected to form an opinion about the quality of care provided. A partial tour of the building was undertaken which included residents’ bedrooms and communal areas they frequent to make sure that the environment is homely and safe. We have reviewed all the information we have received about the home since the last key inspection was performed on the 28.08.2007 when planning this visit. This included the Annual Quality Assurance Assessment which was provided by the registered manager, eight residents responses to the “Have Your Say Pre inspection questionnaires, six responses the Have your Say staff survey and one response from a pre inspection relative’s survey. The quality rating for this service is two star – good service. This means the people who use this service experience good quality outcomes. What the service does well: People have effective assessments performed prior to moving into the home, to make sure their healthcare needs are recorded and can be met. Medication is well managed and residents are afforded appropriate levels of privacy and dignity. Recreational activities are provided and opportunities are available for residents to interact within the broader community. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 6 Residents benefit from the provision of an appealing balanced diet and are able to have snacks and drinks as they wish. Complaints and concerns are effectively managed. A safe, well-maintained environment is provided which is pleasant, comfortable and clean throughout. Resident’s needs are met by the number of staff employed at the home and staff have received appropriate training. Recruitment practices are effective in promoting the safety of residents. The home is run and managed by a person who is fit to be in charge. Residents’ financial interests are safeguarded and the health, safety and welfare of residents is promoted. Residents meetings are performed on a frequent basis to ensure residents can contribute to developments within the home. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Arlington House Care Home DS0000002186.V375865.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 Arlington House Care Home DS0000002186.V375865.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents undergo a pre-admission assessment process to ensure their residential needs can be identified and met. EVIDENCE: Resident’s care planning records showed that need assessments are performed prior to people gaining residency. Additional professional assessments are also used when available, which includes assessments from Social Services departments when available. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 9 Senior care staff spoken with on the day of the inspection informed the inspector that a preadmission assessment is performed for all planned admissions to the home and information relating to the needs of residents gleaned from the assessment is disseminated to the care staff. Intermediate care services are not provided at the Home Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Resident’s healthcare needs are recorded and are met. Medication is well managed and residents are afforded appropriate levels of privacy and dignity. EVIDENCE: Information provided in the Annual Quality Assurance Assessment states “A thorough assessment upon admission enables us to have a good knowledge of the residents needs while maintaining their dignity and choice .Care plans are well constructed and note all the needs of each resident. Nutritional screening, physical activity and a General Practitioner of their choice are all monitored and recorded”. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 11 The pre inspection survey asked residents “Do you receive the care and support you need?” five residents stated “Always” and two residents stated “Usually”. Care plans are developed to address the identified needs of the residents from the pre admittance assessments. The care plans are well presented and reevaluated on a monthly basis to ensure that the changing needs of the residents can be identified and met. The current care planning format would benefit from being more “person centred”, this issue was discussed with the manager who confirmed that she has recently accessed additional training in this area and the current care planning format will be revised. One case tracked resident who had been identified as “at risk” in relation to mobilisation did not had a care plan in place. To address the identified risk, the manager formulated a care plan on the day of the inspection. Care plans showed that residents or their representatives are involved in the care planning process as consent in relation to the content of the care plans is sought from residents or their representatives. At present the consent is not recorded on individual care plans, which is good practice. The resident’s pre inspection survey asked residents “Do you receive the medical support you need?”, five residents stated “Always” and two residents stated “Usually”. A visitor to the home said within the pre inspection questionnaire “I am kept fully informed of any developments in relation to my relative’s health and wellbeing and my relative is so happy due to the level of care and kindness of the staff team” and “they [care staff] always know which services to contact when necessary e.g. medical support”. Care planning records showed, and residents confirmed, that they have access to the District Nursing team, Occupational Therapists, Specialist Falls Prevention teams, Chiropodists and their General Practitioner on request. Residents spoken with confirmed that they receive their medication on time. We observed the lunchtime medication round and it was shown that it was performed in by a suitably qualified member of staff. Records relating to the administration of medications were filled in appropriately, well maintained and stored in a safe environment. A facility is available to store medication which requires refrigeration but it was not in use on the day of the inspection. The resident’s pre inspection survey asked residents “Do staff listen and act on what you say?” four residents stated “Always”, two residents stated “Usually” and one resident stated “Sometimes”. Residents spoken with on the day of the inspection were particularly complimentary about the staff team, comments included “the staff are so kind Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 12 and supportive” and “The staff are always available when need them, they are very good”. Residents spoken with also confirmed that the home provides flexible support which meets their needs and that they have control over their daily routines. A resident said “I can spend the days as I please, I like to stay in bed until at least 11am and the staff always respect my wishes”. Residents also confirmed that their respect and dignity is always promoted whilst staff are assisting with their personal hygiene needs, residents said they never feel rushed and they never feel that their respect and dignity is compromised. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 13 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of recreational activities are provided to residents and opportunities are available for residents to interact within the broader community. Residents benefit from the provision of an appealing balanced diet and are able to have snacks and drinks as they wish. EVIDENCE: The survey for relatives, carers and advocates asked, “Does the care service support people to live the life they choose?” the response was “always”. The relative’s survey also asked “What do you feel the care home does well. Comments included “The staff will always go that extra mile to make sure mum is well cared for and can follow her interests. Relationships between all Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 14 the staff and mum are excellent, the staff have built a “little community” with the residents and the staffing ratios are always good”. The resident’s pre inspection survey asked residents “Are their activities arranged in the home that you can take part in?”. Three residents stated “Always” one resident stated “Usually” and three residents stated “Sometimes”. We discussed the provision of social activities with residents on the day of the inspection; they confirmed that a social activities programme is provided within the home but were not particularly interested in taking part. A comment made within the Have Your Say resident’s survey was “I would like a little more organised activities within the home such as quizzes, maybe bingo or movement to music”. We examined the social activities programme for June 2009. The programme showed that the management team has responded effectively to further promote residents choice as a varied social activities programme was in place. The displayed activities programme for June 2009 included quiz nights, a trip to a local nursery and coffee shop, movement to music, a visit the Nottingham University and coffee shop, a musical evening, a taste of Italy night and Holy Communion. The manager stated that an open door policy is encouraged at the home and that resident’s family and friends can visit as they wish. Residents also confirmed the open access and stated that that the staff at the home always make visitors very welcome. The resident’s pre inspection survey asked residents “Do you like the meals at the home?” two residents stated “Yes”, three residents stated “Usually” and two residents stated “Sometimes” Comments made within the resident’s survey included “The food could be a little better, I find it too stodgy the meat is sometimes not tender enough for people with false teeth”. We examined the menu and it was shown that residents benefit from a good choice of home made meals, which include fresh vegetables, in addition on most days two hot meals are provided which exceeds regulatory requirements. We discussed the meal provision with residents on the day of the inspection who confirmed that the meals have improved recently and they were now happy with the meals at the home. Residents commented “the food is very good” and “always plenty of choice available”. Residents said they particularly enjoyed the home baked cakes and Cornish pasties and also confirmed that they could have a drink or snack whenever they wish. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and concerns are effectively managed. Residents and their relatives confirmed that they were confident that the manager would deal with concerns and complaints effectively. EVIDENCE: Information provided within the Annual Quality Assurance Assessment stated “We respond to complaints immediately, senior management are available on the majority of shifts and residents understand their complaints will be taken seriously and acted upon. Robust procedures for responding to suspicion or evidence of abuse or neglect ensure the safety and protection of our service users”. The resident’s pre inspection survey asked residents “Is there someone you can speak to informally if you are not happy”; all seven respondents stated “Yes”. The survey also asked residents “Do you know how to make a formal complaint” six residents stated “yes” and one resident stated “No”. The relative’s pre inspection survey asked “Do you know how to make a complaint about the care provided at the home” and “has the service responded appropriately if you or the person using the service has raised concerns about their care”, the response was “Yes” in both instances. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 16 A complaints procedure is on display in the foyer of the home and the complaints procedure was evident within the Service Users Guide. Residents spoken with said they felt very safe in the home and said that the staff are receptive to their needs and wishes. All residents spoken with felt confident that they could report any concerns to the management team and felt assured they would be managed effectively. The manager was not investigating any complaints at the time of the visit and the Care Quality Commission has not received any complaints relating to the service provision at the home since the last unannounced visit. The complaints file was examined and showed that three complaints had been made to the manager since the last inspection, all of which had been documented with actions and outcomes recorded. Training records showed that staff have received training in relation to the Safeguarding Adults. We discussed issues relating to Safeguarding Adults with a member of the care staff. The member staff confirmed that training in this area had been provided; she also had a clear understanding of her roles and responsibilities in this area. The revised Nottinghamshire Safeguarding Adult procedure was not available at the home but the manager stated that she will be attending a training course in Safeguarding Adults, provided by Nottingham County on the 17th June 2008 and will access the revised policy at that time. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Resident’s benefit from a safe, well-maintained environment, which is pleasant, comfortable and clean throughout. EVIDENCE: Information provided with the Annual Quality Assurance Assessment stated “We provide a safe, secure and hygienic environment. It is well maintained, comfortable and free from offensive odours. We have a policy for infection Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 18 control. The laundry provides a sluice facility and we have a contract for the removal of clinical waste, we now have a routine maintenance plan in place. We employ a handyman/gardener to keep Arlington House in immaculate condition. We have installed a chair lift to enable the residents who become frailer to access their upstairs bedrooms and therefore they not have to change their rooms, which is very beneficial to them. A new bathroom is being installed which will include a toilet for the disabled. We have new furniture in the small round room lounge- this will improve the comfort and privacy should the residents receive a visitors. The resident’s pre inspection survey asked residents “Is the home fresh and clean?” Six residents stated, “Always” and one resident stated “Usually” The homes internal environment, which included the dining room and the lounge areas, are clean, fresh and homely throughout. Resident’s bedrooms are well maintained, clean and fresh. All the residents spoken with were very satisfied with the standard of cleanliness in the home and confirmed that their bedrooms are cleaned on a regular basis, as are the communal areas. The bathrooms and communal toilets were well maintained and clean and, as mentioned earlier in the report, good progress is being made to upgrade the bathroom area. The gardens are very well maintained and provided a pleasant outlook from most of the residents’ bedrooms and the communal areas. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was sufficient, competent and qualified staff to support the residents. The homes recruitment policies and practices are effective in protecting residents. EVIDENCE: Information provided within the Annual Quality Assurance Assessment stated “We have a low turnover of staff and staffing levels/staff mix is appropriate to the residents needs. We have a recruitment policy based on Equal opportunities- Protection of service users and Vulnerable Adults. Our training officer ensures that there is staff training and development programme in place which ensures that the staff meet the changing needs of our residents The resident’s pre inspection survey asked “Are staff available when you need them” five resident’s stated “Always” and two residents stated “Usually”. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 20 The survey for relatives, carers and advocates asked, “Do the care staff have the right skills and experience to look after people properly”, the response was “Always”. Comments made within the surveys included “They encourage my independence, provide good care and I feel it’s a comfortable place”, “everyone is lovely, the staff are really kind, caring and helpful, nothing is too much trouble” and “I am comfortable and content with everything”. Residents spoken with on the day of the inspection said “There always appears to be enough staff on duty” and “staff are always available when they need them”. Residents said that all the staff are very confident and competent in performing their duties and comments included “they [care staff] are lovely to us, it’s like one big happy family here”. Records showed that members of staff only commence employment once satisfactory Protection of Vulnerable Adult (POVA) checks and Criminal Record Bureau (CRB) checks have been obtained, together with two satisfactory references and proof of identity. The staff induction process has been recently amended and now utilises the “Skills for Care” common induction standards, which is good practice. Information provided by the manager within the Annual Quality Assurance Assessment showed that the service has achieved the target of 100 of staff are trained or working towards to a National Vocational Qualification (NVQ) level two and above in care, which exceeds regulatory requirements, thus ensuring a suitably qualified workforce is employed at the home. A staff-training programme is also provided, which includes Moving and Handling, Basic Food Hygiene, Safeguarding Adults, Health and Safety, Infection Control, Dementia Care and Equality and Diversity and Safeguarding Adults. At present a Staff training Matrix is not maintained but the training and development officer stated that consideration would be made to facilitate this. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run and managed by a person who is fit to be in charge. Residents’ financial interests are safeguarded and the health, safety and welfare of residents is promoted. Residents meetings are performed on a frequent basis to ensure residents can contribute to developments within the home. EVIDENCE: Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 22 The survey for relatives, carers and advocates asked, “Is there anything else you would like to tell us” Comments included “It was such a relief to find this home as mum had a very unpleasant experience when she moved into a temporary home following a fall”. The survey for care staff asked “What do you think the home does well”, comments included “The home gives a homely atmosphere and fulfils the residents needs” and “I believe that Arlington House is committed to giving excellent care and I feel that we strive to meet all needs”. A member of staff, spoken with on the day of the inspection said that she felt fully supported and valued by the management team and that she receives formal supervision to identify any issues which could promote good practise in the home, records were available to support this. The manager demonstrated that the homes policies and procedures are readily accessible to all staff and information provided within the Annual Quality Assurance Assessment showed that the policies and procedures are updated appropriately. Resident surveys are performed on a yearly basis and the information is currently summarised by the manager to identify any areas of service provision, which may require improvement. The ability of residents to contribute to developments within the home is encouraged as residents/relatives meeting are performed on three monthly basis. Staff meetings are also performed on a regular basis and the content of the staff meetings is documented. Resident’s money is individually stored within a secure area. All transactions are recorded and receipts are obtained to ensure that residents are protected from financial abuse. Resident’s health safety and wellbeing is promoted by the provision of effective routine maintenance. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 23 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 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 X 3 X 3 X 2 3 Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 24 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 OP37 Regulation 17 Requirement The registered person must ensure that the revised Nottingham Safeguarding Adults policy is available in the home for reference. Timescale for action 01/07/09 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 Refer to Standard OP7 OP7 Good Practice Recommendations The registered provider should review the current care planning process to ensure a person centred format is achieved. The registered provider should ensure that consent to the content of care plans is recorded on individual care plans. Arlington House Care Home DS0000002186.V375865.R01.S.doc Version 5.2 Page 25 Care Quality Commission East Midlands Region Citygate Gallowgate Tyne and Wear NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastmidlands@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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