31 December 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
The inspection was completed by one inspector and one expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Arundel House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission, but they have left and not fully completed the process for applying to deregister.. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. There is a new manager who is in the process of registering.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection-
We spoke with the manager, assistant manager, provider and four care staff
We also spoke with nine people living at the service and one visiting healthcare professional. We reviewed a range of records including three care plans and daily records, medicine records and audits in relation to maintaining a safe environment.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We asked for copies of their electrical wiring and gas safety certificates as these were not available at the service.
31 December 2019
About the service
Arundel House residential care home providing personal care and support to people living with Mental health needs. There were 15 people living at Arundel at the time of the inspection. The service can support up to 18 people.
Arundel House is a large Victorian property with accommodation over three floors. The building has been adapted to meet people’s needs such as having stair lifts, grab rails and walk in shower room.
People’s experience of using this service and what we found
People said they were well treated by a staff team who understood their needs and respected their wishes. Comments included “I feel safe yeah, very safe, a lot safer than in the flat it was damp there” (this was previous accommodation).
People’s care and support was well planned. This was because a preadmission assessment was completed looking at all aspects of a person’s care. The service worked in conjunction with other professional to ensure the best outcomes for people. This included mental health workers, GPs and consultants.
Staff were vigilant in respect of monitoring people’s healthcare needs. This was both in respect of the physical and emotional well-being. Staff advocated for people to get the right support and treatment when needed. For example, one person had an issue with their foot. Staff they were unable to get them a GP appointment so took the person to the emergency department of the hospital. This was the right decision as the person needed urgent treatment and an operation. One healthcare professional confirmed staff were highly responsive to people’s needs and wishes. They said the service worked in a way which promoted their independence but also monitored when a person was unwell and may need more support with their mental health.
There were sufficient staff with the right skills to meet people’s needs. Staff had the right training and support to do their job effectively. Recruitment practices were robust to ensure only staff who were suitable to work with people who may be vulnerable were employed.
People dignity, choice and privacy was fully respected. Staff knew people, their needs wishes and preferred routines well. There were clearly good bonds between staff and the people who loved at Arundel House. Staff were kind, compassionate and spoke about the achievements of people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported to maintain a healthy diet with choice and variety of melas being offered.
There were systems and audits to ensure records, care and the environment was well maintained.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection- The last rating for this service was Good (published xx).
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.