ARK Grangemouth Care Home Care Home Service Adults 49 Roxburgh Street Grangemouth FK3 9AL Telephone:

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1 ARK Grangemouth Care Home Care Home Service Adults 49 Roxburgh Street Grangemouth FK3 9AL Telephone: Inspected by: Lorna Snaddon Type of inspection: Unannounced Inspection completed on: 21 January 2013

2 Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 7 3 The inspection 11 4 Other information 26 5 Summary of grades 27 6 Inspection and grading history 27 Service provided by: Ark Housing Association Ltd Service provider number: SP Care service number: CS Contact details for the inspector who inspected this service: Lorna Snaddon Telephone enquiries@careinspectorate.com ARK Grangemouth Care Home, page 2 of 29

3 Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of Care and Support 4 Good Quality of Environment 4 Good Quality of Staffing 4 Good Quality of Management and Leadership 4 Good What the service does well We found that staff know the people who live in the service very well and treat them in a respectful manner. The programme of daytime activities is supported by staff and we saw that good relationships have been established with local day centres and social clubs. What the service could do better The service should continue to extend the methods they use to gather feedback. This will provide them with the opportunity to take forward improvements based on the views of residents and their families. A new format for supervision has been introduced. The manager should ensure this is carried out in line with Ark's policy and procedures. This will ensure that supervision is meaningful and consistent. The manager needs to clarify who is providing relief staff with training and supervision and to ensure relief staff are given the opportunity to be involved in team meetings and staff development days. ARK Grangemouth Care Home, page 3 of 29

4 What the service has done since the last inspection Since the last inspection the service has addressed the Fire Safety issues and have implemented further checks to ensure a safe environment is maintained. The manager has begun a process of evaluating the service and has updated some areas of the care plans to ensure these are meaningful for each resident. Conclusion Overall, we found they service was delivering a good level of care and support to those who live there. We found staff were committed to delivering a quality service and knew each resident's needs very well. We found that the service is progressing with developments which were identified at the last inspection and a more structured development plan is now in place. Who did this inspection Lorna Snaddon Lay assessor: Mrs Judith Hayton ARK Grangemouth Care Home, page 4 of 29

5 1 About the service we inspected Ark Grangemouth Care Home is provided by Ark Housing Association Ltd. The organisation provides housing in the East of Scotland for people with learning difficulties. They aim to provide support tailored to individual needs to allow people to play a full part in the community. Ark Grangemouth Care Home provides accommodation for up to 10 adults with learning disabilities. Some of the people using the service may also have physical disabilities. A variation to the conditions of registration currently allows one of the ten places to be used for respite. This variation was time limited and the service has recently made an application to SCSWIS for this variation to be continued. The Care Inspectorate regulates care services in Scotland. Prior to 1 April 2011, this function was carried out by the Care Commission. Information in relation to all care services is available on our website at This service was previously registered with the Care Commission and transferred its registration to the Care Inspectorate on 1 April Requirements and recommendations If we are concerned about some aspect of a service, or think it needs to do more to improve, we may make a recommendation or requirement. - A recommendation is a statement that sets out actions the care service provider should take to improve or develop the quality of the service based on best practice or the National Care Standards. - A requirement is a statement which sets out what is required of a care service to comply with the Public Services Reform (Scotland) Act 2010 ("the Act") and secondary legislation made under the Act, or a condition of registration. Where there are breaches of Regulations, Orders or conditions, a requirement may be made. Requirements are legally enforceable at the discretion of the Care Inspectorate. Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 4 - Good Quality of Environment - Grade 4 - Good Quality of Staffing - Grade 4 - Good Quality of Management and Leadership - Grade 4 - Good This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. ARK Grangemouth Care Home, page 5 of 29

6 Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website or by calling us on or visiting one of our offices. ARK Grangemouth Care Home, page 6 of 29

7 2 How we inspected this service The level of inspection we carried out In this service we carried out a low intensity inspection. We carry out these inspections when we are satisfied that services are working hard to provide consistently high standards of care. What we did during the inspection We wrote this report following an unannounced inspection that took place over three days, on the 20 December, 11 January & 21 January Feedback was given to the Manager on the last day of our inspection. The inspection was carried out by Inspector, Lorna Snaddon. We had the involvement of a Lay Assessor during the first visit to gather the views of the people who live in the service and their families. Information from their findings is included in the body of this report. As requested by us, the service completed an Annual Return and sent us a self assessment. We issued questionnaires to the people using the service, eight completed questionnaires were returned to us prior to the inspection. In this inspection we gathered evidence from a range of sources, including relevant sections of policies, procedures, records and other documentation, including: Information from the service's most recent self assessment Support plans, risk assessments and communication plans Daily recordings, communications book and the service diary The local Participation Strategy document Training records and Personal Development Plans A sample of staff supervision minutes and appraisals A sample of staff inductions and reviews Maintenance records Fire Safety information Minutes of team meetings Minutes participation meetings and service user forums Satisfaction questionnaires Photographs ARK Grangemouth Care Home, page 7 of 29

8 We had discussions with: Eight people living in the service Five staff on duty One Senior Carer The Manager Two external professional Five relatives We observed the environment and equipment used within the service and took account of how staff worked with the people who lived there. The residents we spoke with were happy and relaxed within the home and were keen to show us their rooms. Grading the service against quality themes and statements We inspect and grade elements of care that we call 'quality themes'. For example, one of the quality themes we might look at is 'Quality of care and support'. Under each quality theme are 'quality statements' which describe what a service should be doing well for that theme. We grade how the service performs against the quality themes and statements. Details of what we found are in Section 3: The inspection Inspection Focus Areas (IFAs) In any year we may decide on specific aspects of care to focus on during our inspections. These are extra checks we make on top of all the normal ones we make during inspection. We do this to gather information about the quality of these aspects of care on a national basis. Where we have examined an inspection focus area we will clearly identify it under the relevant quality statement. Fire safety issues We do not regulate fire safety. Local fire and rescue services are responsible for checking services. However, where significant fire safety issues become apparent, we will alert the relevant fire and rescue services so they may consider what action to take. You can find out more about care services' responsibilities for fire safety at ARK Grangemouth Care Home, page 8 of 29

9 The annual return Every year all care services must complete an 'annual return' form to make sure the information we hold is up to date. We also use annual returns to decide how we will inspect the service. Annual Return Received: Yes - Electronic Comments on Self Assessment Every year all care services must complete a 'self assessment' form telling us how their service is performing. We check to make sure this assessment is accurate. The Care Inspectorate received an updated self assessment document from the service provider. In the self assessment the provider identified what they thought they did well and some areas for development. The service told us about ways that people who use the service have been involved in the self assessment process. Taking the views of people using the care service into account During our visits we spoke with the people who lived their, some of their comments included; I like it here I like living here I had a meeting last week about care My room looks nice. Residents we spoke with were able to name their keyworker and told us staff were good. ARK Grangemouth Care Home, page 9 of 29

10 Taking carers' views into account We spoke with five relatives during our inspection, two in person and three by way of telephone conversations. Their comments included; (My relative) Is treated like an individual (My relative ) Always lovely and clean. This is very important as she has incontinence No concerns. Excellent service Staff know likes and dislikes Relative able to make a choice. One of the relatives spoken to used the centre for respite and was very positive about the service, they commented that their; Relative becomes very happy when due to go for respite One relative interviewed disagreed with the above. They felt that standards of care had slipped recently, for example they said their relative was wearing inappropriate or dirty clothing. ARK Grangemouth Care Home, page 10 of 29

11 3 The inspection We looked at how the service performs against the following quality themes and statements. Here are the details of what we found. Quality Theme 1: Quality of Care and Support Grade awarded for this theme: 4 - Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the care and support provided by the service. Service strengths From observation of practice, discussion with staff and service users and examination of core documentation we found the service was operating to a good level in this area of practice. Residents meetings are taking place and are being used to discuss the service provided. Within this forum residents can give their views and requests about things they would like to do. For example residents have had an input into deciding the venue for a Christmas outing, buying furniture and discussion is on going about how to use the additional garden space that the service has acquired. Through viewing care plans, we found that residents have been involved in agreeing some areas of their care. This includes the use of systems in place that help support residents achieve their aims and goals. We observed one resident being familiar with the use of pictures as a method of following daily routines. This demonstrates that some techniques are used which are meaningful to residents. The service continues to have links with partner agencies who are involved in the wider support package of residents care. We saw residents were actively supported to attend local centres and social groups. This support from staff helped resident feel confident in engaging in activities outwith the home. ARK Grangemouth Care Home, page 11 of 29

12 I like it here I like living here I had a meeting last week about care My room looks nice Residents we spoke with were able to name their keyworker and told us staff were good. We spoke with five relatives during our inspection, two in person and three by way of telephone conversations. Their comments included; (My relative) Is treated like an individual (My relative ) Always lovely and clean. This is very important as she has incontinence No concerns. Excellent service Staff know likes and dislikes Relative able to make a choice. One of the relatives spoken to used the centre for respite and was very positive about the service, they commented that their; Relative becomes very happy when due to go for respite. One relative interviewed disagreed with the above. They felt that standards of care had slipped recently, for example they said their relative was wearing inappropriate or dirty clothing. Areas for improvement Although we found that staff knew residents care and support needs well we did not feel the service were creative in using non verbal methods of communication to enhance discussions and interactions with residents. We found a lack of pictorial tools and methods were used where we felt these could be of benefit to the residents. On discussion with the manager we found that there has been a problem with down loading pictures to the service computer. This was something that was a concern at the last inspection. See recommendation 1. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 1 ARK Grangemouth Care Home, page 12 of 29

13 Recommendations Inspection report continued 1. Staff should develop further the consultation methods in use for Residents - They should be able to demonstrate: How residents influence the care and support they receive, the environment, quality of staffing and management. A range of consultation methods should be used to meet the individual communication needs of individual residents. This recommendation applies to all quality themes examined during this inspection. National Care Standards Care Homes for People with Learning Disabilities Standard 11 Expressing your views. ARK Grangemouth Care Home, page 13 of 29

14 Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths Inspection report continued From observation of practice, discussion with staff and service users and examination of core documentation we found the service was operating to a good level in this area of practice. We found a range of relevant information was gathered when new residents were admitted. This information formed the basis of the care plan. Residents were supported to attend appointments and health professionals could visit them at the service. The health needs of each resident were detailed in their care plans and staff were aware of how residents preferred their personal care to be delivered. We found residents liked the food and expressed their likes and dislikes to us, these included; Yes I can eat what I want I can eat my dinner when I want Macaroni, chicken and potatoes were a favourite and sweetcorn was unpopular. We observed that residents can choose what and when they eat although a set meal is provided at night. We saw that residents go shopping for clothes and food and one resident commented; Choose my own clothes when I go shopping. One of my carers goes with me. The residents that we saw were all tidy, clean and well dressed. One resident was taken out for a haircut during our visit and another bought new clothes and shoes. Residents have outline care plans in their rooms which are used for monitoring. Residents are not always aware of this. Annual reviews occur but some residents had poor knowledge of meetings. A comment was; Don't know what happens ARK Grangemouth Care Home, page 14 of 29

15 Relatives were able to attend these reviews. Other meetings are held if and when required. Some relatives we contacted were satisfied with communication between themselves and the care home. They told us that communication levels were agreed between care home and themselves. Areas for improvement Staff should continue to enable and support the residents to produce an information 'passport' about themselves that uses information from their care plan. This will help staff identify with significant and up to date information as further method of communication. We did not find that there was a structured programme of activities for residents in the evenings or weekends. We felt that this should be reviewed alongside the resident to ensure their social, recreational time is spent in a meaningful and stimulating way. We also noted that service users who were able to, were not encouraged to assist staff with any household duties. We feel that being involved in daily tasks can promote an added responsibility in ensuring people take pride in their surroundings. We would recommend that the service review this practice. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 1 Recommendations Inspection report continued 1. The care plans should continue to be developed to show how the individual needs of residents are being met. This should include 6 monthly reviews. National Care Standards Care Homes for People with Learning Disabilities Standard 6 - Support Arrangements. ARK Grangemouth Care Home, page 15 of 29

16 Quality Theme 2: Quality of Environment Grade awarded for this theme: 4 - Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the environment within the service. Service strengths The methods established to encourage consultation and participation reported in Quality Theme 1, Statement 1, remain relevant for this statement. We found that residents have been involved in deciding which type of tables they liked for the kitchen. They have also been consulted with regards to the use of the additional garden space that the service has taken over. Suggestions for a green house is one of the favourites. Residents' views and support needs have influenced venues for outings. We found that residents could choose where to spend their day, either in the communal areas of the home or have quiet time in their rooms. The residents who invited us into their rooms were happy to show us their pictures and mementos. We found that bedrooms were personalised to each residents preferred choice. Pictorial menu's helped residents plan for the shopping and choose the food they liked. Pictures of what was on the menu each day were usually displayed in advance in the dinning room area. Areas for improvement As outlined in Quality Theme 1, statement 1, management and staff need to continue to develop the ways that residents and relatives can influence and improve the environment. See recommendation 1 in Quality Theme 1, statement 1. Through discussion with residents, their relatives and staff we did not feel there was a consistent approach to the use of pictures to assist with menu planning and food choice. We did not see pictures of which staff were on duty each day. These were both methods of practice that the service identified as good practice and is something we would ask to be reviewed. ARK Grangemouth Care Home, page 16 of 29

17 Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued ARK Grangemouth Care Home, page 17 of 29

18 Statement 2 We make sure that the environment is safe and service users are protected. Service strengths The service provides residents with an environment which is tidy and secure. Residents can move around the home freely, when they chose. Access to the communal areas of the home is not restrictive and seating arrangements in the lounge are appropriate for the size of the service. Staff continue to maintain a safe environment for residents by ensuring it is well maintained and any risks or hazards are minimised. Cleaning materials are stored securely and any dangers to people's safety are addressed. A secure entry system is in place which is monitored by staff and visitors are required to sign in/out of the service. This helps the staff know who is in the building at any given time. Policies and procedures have been introduced to ensure residents safety including Adult Support and Protection and individual fire risk assessments. Maintenance issues are logged and we saw these are generally dealt with promptly. This means that outstanding repairs do not impact on the quality of the environment. Staff have attended training in relation to food safety and 'Cook Safe' procedures are followed and recorded. Staff told us how they followed good hygiene procedures when preparing food. Nightly safety checks on the building are carried out by staff. Staff described how this made service users feel safe and content knowing that the building was secure. Areas for improvement Inspection report continued We found that some areas of the home were not as clean as others. We saw some badly stained carpets on the staircase and a lack of care taken in relation to the managers office which was regularly frequented by residents. We found it cluttered and in need of a hoover on two separate occasions. This room is used for meetings and we did not feel it was in keeping with the cleanliness afforded to other parts of the home. See recommendation 1. Included in the remit of staff's role is the cleaning of the communal areas. We found that although staff worked hard to maintain a clean home we saw that the support needs and personal care of residents took priority, meaning that at times they did manage to complete all of the daily tasks that they were expected to carry out. See recommendation 1. ARK Grangemouth Care Home, page 18 of 29

19 Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 1 Recommendations Inspection report continued 1. We recommend that the manager carry out an assessment of the time available for staff to complete tasks that are assigned to them in relation to the general daily upkeep of the service and in the preparation of meals. National Care Standards Care Homes for People with Learning Disabilities Standard 4:(3) Your Environment & Standard 5:(7) Management and Staffing Arrangements. ARK Grangemouth Care Home, page 19 of 29

20 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 4 - Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service strengths The methods established to encourage consultation and participation reported in Quality Theme 1, Statement 1, remain relevant for this statement. We found that residents, visiting relatives or their representatives have some opportunities to give their views about staffing within the service. This can be through reviews, meetings or directly to the manager. Feedback we received during the inspection confirmed that staff show dedication in their role and are committed to delivering person centred care. We observed residents and staff interactions and found staff regularly consulted with residents about how they would like things. For example; food, personal care and activities. Through discussion with residents and their families we found that staff were valued and people knew how to raise concerns if required. Residents had the opportunity to request a change of key worker if any difficulties arose. The residents we talked to knew who their keyworkers were and said they would go to them if they had any concerns. One resident said he knew who the manager was and said he spoke to them. Areas for improvement As outlined in Quality theme 1, statement 1, management need to continue to develop the ways that residents and relatives can influence and improve the quality of staffing in the service. See recommendation 1 in Quality Theme 1, statement 1. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 ARK Grangemouth Care Home, page 20 of 29

21 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths We found that staff continue to work well with residents, by delivering person centred values based practice. We observed staff interacting with residents in a positive and respectful way. They supported residents well, following their care plans. Although there has been changes to the staff team since the last inspection, this seems to have been positive for the service. Staff are committed to meeting residents needs and work well together to ensure the daily routines of the residents and service are maintained. Staff meetings have been re-established within the service. Staff find them a useful forum to discuss the service and share any significant changes relating to the residents. They are able to add any items to the agenda and if they are unable to attend, know where they can access the minutes. Supervision sessions have also been re-introduced and again, staff find these sessions useful and supportive. Discussion with the manager demonstrated he had a good understanding of the training available and what was planned for the near future. Discussion with new staff members confirmed that the induction process helped them become familiar with policies, procedures and routines within the service. They found the shadowing opportunities they had very useful to get to know the residents, become familiar with their individual needs and routines. The progress of new staff is recorded by the senior staff supporting them. When the staff member has demonstrated their competence in each area, senior staff sign off the their induction record. Areas for improvement Inspection report continued We found that regular relief staff were not provided with formal supervision or training within the service. There was no organisational policy to outline how relief staff should be afforded the same development opportunities as permanent staff. We recommend that the provider consider this areas of practice to ensure all staff working in the service have access to supervision, training and development opportunities on an ongoing basis. ARK Grangemouth Care Home, page 21 of 29

22 While we recognise the progress made since the last inspection, we would like to see the systems that have been re-introduced further developed and embedded into practice. Supervision needs to be used as a tool to discuss staff performance and the development of best practice. Ark are planning for team leaders to undertake two modules from SVQ IV in management to increase their skills and knowledge. We found that not all staff had the same information within their files. It would be helpful to have a checklist that details what information is kept at head office, when information is received by the service and any follow up action needed from references. We found some gaps in staff induction. This was particularly concerning fire safety. The current system details when staff have achieved particular elements of the induction. However, consideration should be given to detailing progress being made in respect of staff skill and knowledge where competence is not achieved within an expected timescale. It would be useful to record what stage staff are at and what they are expected to do to achieve a particular competence. Again it would be helpful to have timescales identified so progress can be monitored. See recommendation 1. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 1 Recommendations 1. It is recommended that the recording within the induction programme is more detailed to show why there is a delay in achieving competencies. It should also be detailed if a staff member is expected to undertake particular tasks to achieve particular competences required of the induction programme. National Care Standards Care Homes for people with learning disabilities - Standard management and staffing arrangements. ARK Grangemouth Care Home, page 22 of 29

23 Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 4 - Good Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the management and leadership of the service. Service strengths The methods established to encourage consultation and participation reported in Quality Theme 1, Statement 1, remain relevant for this statement. We found that residents and their families had some opportunities to participate in assessing and improving the quality of the management and leadership of the service. A recent satisfaction survey carried out by the service identified one area of concern. We saw how the manager and senior staff invited the family to a meeting to take things forward. As part of their role, senior staff were actively involved in delivering care to those who live in the home. This allowed them to gather people's views first hand and discuss these directly with the manager. We found that senior staff had a good overview of how the service operated out of regular working hours. The manager told us there was an on-call system in place which he was part of and staff could call him at anytime if they had any concerns or needed clarification on matters arising. Two relatives indicated that review meetings happened regularly and they were very happy with the way communications were handled. It seemed that levels of communication were tailored to what the relative required. Comments included; Helping to set table. Good with place mats. Excellent introduction to service for my son. Many meetings and even a relative who worked for service elsewhere was brought in to help initially. One relative expressed concern that there was a; ARK Grangemouth Care Home, page 23 of 29

24 Lack of communication between staff about issues concerning their relative. Another relative expressed disquiet about the management. She said that in her view it had deteriorated. For example the family had been requesting a meeting for some considerable time regarding concerns they had about their relative but a meeting had only just been arranged.this relative was aware that formal complaints could be made to the Care Inspectorate. Areas for improvement The provider needs to continue to develop ways in which residents and relatives are provided with opportunities to influence and improve the quality of the management and leadership of the service. Any concerns raised should be addressed and a matter of priority. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued ARK Grangemouth Care Home, page 24 of 29

25 Statement 4 We use quality assurance systems and processes which involve service users, carers, staff and stakeholders to assess the quality of service we provide Service strengths We found that since the last inspection some progress had been made in this area. The manager had in place a development plan which identified key areas to be progressed such as care planning, staff induction and supervision. Ark have carried out an annual consultation with residents and relatives as they had proposed at the last inspection. This involved feedback from meetings and issuing questionnaire. Relatives confirmed that they had been asked for their views and are currently awaiting for the outcome. As previously reported the re-establishment of team meetings and supervision offers the opportunity to discuss how staff can be involved in developing the service. Discussion with staff confirmed they feel able to give their views formally and informally. As well as using meetings and supervision, most staff felt they could approach the manager with any ideas or suggestions for the service. For example staff and residents recently planned the refurbishment of the kitchen. We found that systems were in place to monitor staff practice and areas such as care plans, medication and maintenance logs were checked by senior staff and the manager on a regular basis. Further more, Ark undertook the central audit of training which identified core training required for staff to undertake or renew. Areas for improvement Although we found there were systems in place to monitor practice we did not feel a thorough evaluation was undertaken to ensure staff's understanding in relation to; induction, policy and procedures and care planning. We recommend that the manager undertake a full review of how effective these systems are used to ensure staff competencies in these areas. Grade awarded for this statement: 4 - Good Number of requirements: 0 Number of recommendations: 0 Inspection report continued ARK Grangemouth Care Home, page 25 of 29

26 4 Other information Complaints A recent complaint against the service in relation to communication was upheld. Enforcements We have taken no enforcement action against this care service since the last inspection. Additional Information N/A Action Plan Failure to submit an appropriate action plan within the required timescale, including any agreed extension, where requirements and recommendations have been made, will result in SCSWIS re-grading the Quality Statement within the Management and Leadership Theme as unsatisfactory (1). This will result in the Quality Theme for Management and Leadership being re-graded as Unsatisfactory (1). ARK Grangemouth Care Home, page 26 of 29

27 5 Summary of grades Quality of Care and Support Good Statement 1 Statement Good 4 - Good Quality of Environment Good Statement 1 Statement Good 4 - Good Quality of Staffing Good Statement 1 Statement Good 4 - Good Quality of Management and Leadership Good Statement 1 Statement Good 4 - Good 6 Inspection and grading history Date Type Gradings 1 Feb 2012 Unannounced Care and support 3 - Adequate Environment 2 - Weak Staffing 3 - Adequate Management and Leadership 3 - Adequate 3 Aug 2011 Announced Care and support 3 - Adequate Environment 3 - Adequate Staffing 3 - Adequate Management and Leadership 2 - Weak 15 Dec 2010 Unannounced Care and support 3 - Adequate Environment Not Assessed Staffing Not Assessed Management and Leadership 3 - Adequate ARK Grangemouth Care Home, page 27 of 29

28 28 Sep 2010 Announced Care and support 3 - Adequate Environment Not Assessed Staffing Not Assessed Management and Leadership 3 - Adequate 26 Mar 2010 Unannounced Care and support 4 - Good Environment 4 - Good Staffing 4 - Good Management and Leadership 4 - Good 23 Jun 2009 Announced Care and support 3 - Adequate Environment 3 - Adequate Staffing 3 - Adequate Management and Leadership 3 - Adequate 27 Nov 2008 Unannounced Care and support 3 - Adequate Environment 1 - Unsatisfactory Staffing 3 - Adequate Management and Leadership 3 - Adequate 1 Jul 2008 Care and support 3 - Adequate Environment 1 - Unsatisfactory Staffing 3 - Adequate Management and Leadership 3 - Adequate All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. ARK Grangemouth Care Home, page 28 of 29

29 To find out more about our inspections and inspection reports Read our leaflet 'How we inspect'. You can download it from our website or ask us to send you a copy by telephoning us on This inspection report is published by the Care Inspectorate. You can get more copies of this report and others by downloading it from our website: or by telephoning Translations and alternative formats This inspection report is available in other languages and formats on request. Telephone: enquiries@careinspectorate.com Web: ARK Grangemouth Care Home, page 29 of 29