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Arundel Park Residential and Nursing Home Good

Reports


Inspection carried out on 10 November 2016

During a routine inspection

The inspection was carried out on 10 November 2016 and was unannounced.

Arundel Park is registered to provide support for up to 50 people. At the time of our inspection 45 people were living there of whom 26 were receiving support with nursing care and 19 receiving support without nursing care. Situated in the Sefton Park area of Liverpool the home is near to local amenities and bus routes. All of the bedrooms provide en-suite facilities. Accommodation is over two floors with a passenger lift available for people to use.

The home did not have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. An appointed manager was working at the home and aware of the need to apply to CQC for registration as manager.

During the inspection we spoke with 17 of the people living at the home and with six of their visitors. We also spoke individually with nine members of staff who held different roles within the home and with two visiting professionals. We examined a variety of records relating to people living at the home and the staff team. We also looked at systems for checking the quality and safety of the service.

People living at the home told us that they liked and trusted the staff team. They told us that staff treated them kindly and were responsive to their needs. Staff received appropriate training and were aware of how to carry out their role safely and well.

Staffing levels were adequate with plans in place to increase these as more staff were recruited. Robust recruitment procedures were in place and followed to ensure staff were suitable to work with people who may be vulnerable.

Polices and procedures were in place for safeguarding vulnerable adults. Staff were aware of these and senior staff ensured they were followed.

People’s medication was safely managed and people received the support they needed with their health care.

Support was provided to people to ensure their rights under the Mental Capacity Act were protected.

People received the support they needed to eat and drink and were regularly asked their opinions of the meals provided. Information about the home and how it operated was readily available to people living there and their visitors. In addition, systems were in place to formally obtain the views of people living at the home and their relatives.

A number of activities and events were arranged that people enjoyed taking part in. People were confident in raising any concerns or complaints that they had. Individual care plans were in place to guide staff on how to support people.

The home had a recently appointed manager who was aware of the need to registered with the CQC.

Systems for auditing the quality of the service and planning improvements were in place and effectively used.

Inspection carried out on 12 March 2014

During an inspection to make sure that the improvements required had been made

We carried out this inspection to follow up on compliance actions we had set following our previous visit in November 2013. We found that the provider had taken appropriate action to improve the service and it was now compliant in the areas we assessed.

We spoke with a number of people who used the service and with a relative and visiting professional and the feedback we received was that people were being provided with a good service. People who used the service told us they felt well supported with their personal care and their health care. They also told us staff were respectful towards them and protected their privacy and dignity and their independence.

Each of the people who used the service had a care plan which provided a good description of the person’s needs and how to meet these. We saw some good examples whereby staff had referred for specialist advice and support to meet people's needs.

We found significant improvements had been made to how medicines were managed and overall we found medicines were now being safely and appropriately managed.

The quality of the service was being checked on a regular basis by the provider and people who used the service had been asked for their views on the home as part of this.

Inspection carried out on 13 November 2013

During an inspection to make sure that the improvements required had been made

We carried out this unannounced inspection to follow up on compliance actions and other enforcement actions which we set following the previous inspection of 3 July 2013.

We found that improvements had been made to the service since our last inspection visit. However, in a number of areas these were not sufficient to achieve compliance with the regulations.

We found that improvements had been made to how people were involved in decisions about their care and support. People had been given the opportunity to attend 'resident and relative' meetings and had been asked their views about the quality of the service through questionnaires. People's care and support had been reviewed and care plans updated. Staff had been provided with up to date training in a range of topics including safeguarding people from abuse. Staff had been supervised and regular team meetings had taken place. We also found that new staff had been recruited into a number of roles.

We found that although people's care plans had been reviewed we saw a number of examples whereby the information in them was inaccurate or not sufficiently detailed. We also found a number of concerns with how medicines were managed. We also found that the provider's systems for assessing and monitoring the quality of the service had not been effective enough to identify these concerns and to protect people from the risks of receiving inappropriate or unsafe care and treatment.

Inspection carried out on 3 July 2013

During a routine inspection

We used a number of different methods to help us understand the experiences of people who lived at Arundel Park, because some of the people using the service had complex needs which meant they were not able to tell us their experiences. During our inspection we observed that although staff were kind and caring in their interactions with the people who used the service, the interactions were limited and staff did not always respect the wishes of the people they cared for.

We were able to speak with eight people who used the service and five of their relatives. Most of the comments made expressed concerns about the standard and quality of care, such as:

“I just want to get out of here.”

“I’m cheesed off being here, I want to leave.”

“Sometimes I just feel I’m a nuisance to people.”

"I feel safe, staff treat me nice."

During our visit we found evidence that the care plans for the people who used the service were not detailed enough and did not contain enough information for people to be cared for safely and effectively. We also found that there were not enough staff to provide safe and effective care and staff who worked at Arundel Park had not received appropriate supervision or support.

We found that appropriate arrangements were not in place for the management of the medicines. We also found that there were insufficient quality assurance systems in place to ensure people received safe and appropriate care, treatment and support.

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a registered manager on our register at the time.

Inspection carried out on 9 November 2012

During a routine inspection

We had previously inspected this service on 23 August 2012. During our visit we found that there had been significant improvements at Arundel Park since our last inspection.

We used a number of different methods to help us understand the experiences of people living at Arundel Park, because some of the people using the service had complex needs which meant they were not able to tell us their experiences. We were able to speak with six people who used the service who told us the care they had received at Arundel Park had “improved a lot lately”, and they had been "well looked after".

During our visit we observed that staff treated people in a kind and caring way and were respectful towards the people they cared for. There were enough skilled and experienced staff on duty to be able to meet the needs of the people who lived at Arundel Park in a timely manner.

We also saw evidence that the organisation was monitoring the quality of the service provided on a regular basis.

Inspection carried out on 23 August 2012

During an inspection to make sure that the improvements required had been made

At the time of our inspection Arundel Park was being managed temporarily by a manager from another care home within the European Wellcare group.

We used a number of different methods to help us understand the experiences of people living at Arundel Park. This was because some of the people using the service had complex needs which meant they were not able to tell us their experiences. We spoke individually with six of the people living there and with six visitors. We also spent time observing the support provided by staff.

We spoke with six people who lived at the home during our visit and asked them about their experience of living at Arundel Park. Some comments made were:-

“It’s OK”.

“The staff do their best, but there aren’t enough of them”.

“They are not always nice, they refuse to help me with some things and say I can do it myself”.

“I have to live here because I can’t look after myself any more”.

Inspection carried out on 1 March 2012

During an inspection in response to concerns

During our visit to the home we had the opportunity to spend time with people who live there. The people we spoke with were generally satisfied with the accommodation, care and support. Overall people were happy with the quality and choice of food. We did hear that “staff need to be warmer and give us more time”.

We spoke also with relatives and friends of people who live at the home. We heard that the staff are caring and attentive to the needs of people. We also heard however, that staff do not always communicate with people in a kind and caring way.

Inspection carried out on 12 January 2012

During a routine inspection

People we spoke to were generally satisfied with the care and treatment given to them. They told us “They do the best they can for us”, “Staff look after me well and do their job well”, “Staff are very caring and look after the residents well”. People we spoke to told us there were plenty of activities and outings which they enjoyed if they wished to participate in them. Some people told us the choice of food was limited at mealtimes and in some cases more than one choice was not available.

Reports under our old system of regulation (including those from before CQC was created)