Care Home: Arran House

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What the care home does well We looked at a care plan for one of the most recently admitted people. In the main it was well written and contained detailed information about the way in which the person`s needs should be met by staff working at the home. We looked at activities, people have opportunities to go out socially and to go on holidays. Trips have included outward bound courses, York, Scarborough and Blackpool. Some of the people living at Arran house go out alone. This is risk assessed to ensure people`s safety. The home also has a volunteer who chairs resident meetings and helps plan activities. We looked at the environment. The home has a communal kitchen/diner, lounge and bathrooms. There is also a quiet room on the second floor for people to relax. There are plans in place to continue upgrading the home and these were seen and discussed with the manager during the inspection. The home is well furnished and decorated with a number of communal areas for people to spend time. We looked at training records. Training includes fire safety, Mental Capacity Act (MCA), safe handling of medicines, abuse awareness, challenging behaviour and infection control. The home now has a matrix to plan training and identify any gaps. The home are also planning to use an online tool which will help make training more tailored to the needs of each individual staff member. We looked at the support that staff receive, there are staff meetings, supervision sessions and keyworker meetings. the manager said that the home operates an `open door` policy and this was evident throughout the inspection. One person living at the home said, "I go to college, I love it here. I have my own CD, TV, DVD and I have my own shower". Comments from people living at the home in surveys include, "It`s clean and tidy, nice staff", "They make life nice, nice meals and my clothes are washed nicely" and "Everything, living here is lovely".Comments from staff include, "The home provides a warm and friendly, homely environment which is welcoming. The residents here get good suuport", "We look after people to a very high standard" and "The residents here are well cared for and happy living in a safe environment". What the care home could do better: The care plan which we looked at had not been reviewed, it made reference to a district nurse visiting twice daily, yet an additional part of the care plan states that the nurse no longer calls. The home should ensure that care plans are reviewed reguarly and kept up to date. The home does not currently have a registered manager. The acting manager is in the process of applying for this position. The current certificate of registration needs updating as it contains the wrong information. When looking at a care plan it became apparent that an incident had taken place which had not been notified to the Commission. The Commission must be notified of serious incidences especially where it effects the safety or well being of any service user. The acting manager said that this had been an oversight and our records show that notifications are normally made. One staff member said in a survey that they would like more support for staff. Random inspection report Care homes for adults (18-65 years) Name: Address: Arran House 28 Redcar Road Guisborough TS14 6DB three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Tanya Newton Date: 1 3 0 5 2 0 1 0 Information about the care home Name of care home: Address: Arran House 28 Redcar Road Guisborough TS14 6DB 01287280511 01287280522 miltoun.house@ntlbusiness.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jane Lesley Dexter-Smith,Mr R Dexter-Smith Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 4 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 4 4 The maximum number of service users who can accommodated is: 4 The registered person may provider the following category of service only: Care Home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD, maximum number of places 4. Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places 4 Date of last inspection Brief description of the care home Arran House can accommodate up to four people in single rooms, one of which is situated on the ground floor with an ensuite facility. There is a small lounge available Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home on the third floor. The home offers domestic, homely accommodation with ground floor lounges and well appointed kitchens/dining areas. Arran House is situated near the centre of Guisborough and close to local amenities. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We carried out unannounced visit to the service. Arran house is registered to provide care for up to 4 people who may have a learning disability or have a mental disorder. We visited the home and looked at records. We also met with the acting manager, and staff who were on duty. Prior to the inspection the manager completed an annual quality assurance assessment (AQAA) which provided us with information about the service. We also sent out surveys to staff and people living at the home. Eleven were returned and comments from these have been included within this report. What the care home does well: We looked at a care plan for one of the most recently admitted people. In the main it was well written and contained detailed information about the way in which the persons needs should be met by staff working at the home. We looked at activities, people have opportunities to go out socially and to go on holidays. Trips have included outward bound courses, York, Scarborough and Blackpool. Some of the people living at Arran house go out alone. This is risk assessed to ensure peoples safety. The home also has a volunteer who chairs resident meetings and helps plan activities. We looked at the environment. The home has a communal kitchen/diner, lounge and bathrooms. There is also a quiet room on the second floor for people to relax. There are plans in place to continue upgrading the home and these were seen and discussed with the manager during the inspection. The home is well furnished and decorated with a number of communal areas for people to spend time. We looked at training records. Training includes fire safety, Mental Capacity Act (MCA), safe handling of medicines, abuse awareness, challenging behaviour and infection control. The home now has a matrix to plan training and identify any gaps. The home are also planning to use an online tool which will help make training more tailored to the needs of each individual staff member. We looked at the support that staff receive, there are staff meetings, supervision sessions and keyworker meetings. the manager said that the home operates an open door policy and this was evident throughout the inspection. One person living at the home said, I go to college, I love it here. I have my own CD, TV, DVD and I have my own shower. Comments from people living at the home in surveys include, Its clean and tidy, nice staff, They make life nice, nice meals and my clothes are washed nicely and Everything, living here is lovely. Care Homes for Adults (18-65 years) Page 4 of 8 Comments from staff include, The home provides a warm and friendly, homely environment which is welcoming. The residents here get good suuport, We look after people to a very high standard and The residents here are well cared for and happy living in a safe environment. 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 set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 5 7 The terms and conditions (contract) need updating to reflect the mobe from CSCI to CQC. The six monthly reviews/evaluations of care should be carried out and care plans should be reguarly updated to reflect any changes in need. The Commission must be notified of any serious event which adversely affects the well-being or safety of any service user. 3 37 Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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