Inspection on 18/05/10 for Abbey Care Rest Home

This is the latest available inspection report for this service, carried out on 18th May 2010.

CQC found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Abbey Care Rest Home 27/11/07

Abbey Care Rest Home 09/01/07

Abbey Care Rest Home 20/06/06

Abbey Care Rest Home 25/08/05

Abbey Care Rest Home 16/06/05

Abbey Care Rest Home 18/01/05

Abbey Care Rest Home 28/09/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 17/07/2010.

Key inspection report Care homes for older people Name: Address: Abbey Care Rest Home 14 Hampton Road Blackpool Lancashire FY4 1JB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Jacqueline Riley     Date: 1 8 0 5 2 0 1 0 This is a review of 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. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 24 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. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Abbey Care Rest Home 14 Hampton Road Blackpool Lancashire FY4 1JB 01253341458 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): abbey_care@yahoo.co.uk Mr Gulan Asger Abdullah Mukadam Name of registered manager (if applicable) Dr Bilqis Mukadam Type of registration: Number of places registered: care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: The registered person may provide 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: Dementia - Code DE (maximum number of places 10), Mental disorder, excluding learning disability or dementia - Code MD (maximum number of places 1). The maximum number of service users who can be accommodated is: 11. Date of last inspection Brief description of the care home Abbeycare is a registered facility, providing residential care for up to ten adults who have dementia and two adults with mental illness. The care home is situated in a residential area of Blackpool, close to amenities including shops and the transport network. The home is spacious, with service user rooms on the ground floor and first Care Homes for Older People Page 4 of 24 Over 65 0 0 10 1 0 8 0 9 2 0 0 9 Brief description of the care home floor. There are two double bedrooms and seven single rooms. There are no en-suite facilities. There is a choice of two lounges with toilets in close proximity. Access to the home is facilitated by a ramp. There is no rear garden area however the front garden is accessible for service users and regularly used during the summer months. There is a written Statement of Purpose and Service User Guide outlining the home purpose, and the services it will provide to residents. This information is made available to all prospective residents or their relatives representatives to help them make an informed choice about going to live at the home. At the time of the inspection 18th May 2010 the information provided to the Commission showed that care home fees were £350 per week, any additional expenses including chiropody, newspapers and additional toiletries are met by the resident or third party. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: A key inspection of the home was undertaken which included an announced visit to the service on 18th May 2010 and lasted approximately four hours. We spoke to the registered owner of the service, one staff member, and a number of people using the service. The care records and other records relating to the care people receive were looked at. We did not receive any surveys prior to the inspection of the home, but we did speak to people who spoke positively about the care their relatives receive at the home. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an annual assessment of the quality of their service. This document is called an Annual Quality Assessment (AQAA). We use this information, in part, to focus our inspection activity. Care Homes for Older People Page 6 of 24 What the care home does well: 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. Care Homes for Older People Page 7 of 24 You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Admission and assessment procedures are in place so that the home knows they can meet the individual needs of residents. Evidence: We looked at the records of two people living at the home. The records were for people living there on a permanent basis. We saw they had assessment details in place from social workers, or health care professionals. The information shows the home is informed through these assessments of the needs of the people living there. There is evidence social workers and other professionals visit people on an annual basis for review of their needs. Any changes are recorded. Comments received said, We aim to get as much information as we can before a resident comes into the home. One persons spoken to said they are visited by a social worker on a regular basis. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously. Residents welfare is monitored and their health needs are identified and met. Evidence: The two care planning records we looked at had been reviewed and were up to date. There was good information about individual health care needs as well as how those needs are going to be met. There were no additional staff on duty to discuss how they manage the care planning, however the provider who works in the home on a day to day basis, was able to show the process of care planning and how the identified needs are monitored and reviewed. The records we looked at show there are risk assessments in place for people living at the home, which highlight what the risk is, how it can be managed and what the outcome is for the resident. There was evidence of risk assessments and care plans being reviewed on a monthly basis by the manager. In some instances there was evidence of changes being made as the needs of the people changed, so that staff were able to meet the presenting need of the person at the present time. Care Homes for Older People Page 11 of 24 Evidence: By looking closely at the records we found there are links between the home and other health care professionals including, doctors, district nurses, and psychiatrists, so that peoples health care and psychological needs are being met. Medication records and observation of practices in administration showed us it is safe. Only staff who have received training in medication management or the manager administers medication. We looked at two records and found them to be complete and up to date. We looked at how the home stores medication and found it to be in a locked purposeful facility, with metal locked cupboards bolted to the wall to ensure the security of medication. We found the home has improved how it manages people medication when they have short stays at the home. It is labelled and recorded appropriately so it is safe. We saw peoples privacy and dignity is respected during the visit by looking at how staff talk to and respond to residents. We found staff to be respectful and sensitive to individual needs throughout the inspection. People we spoke to said, we think the staff are wonderful and have time for residents who live here. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the support they need to live their chosen lifestyles. Evidence: This is a small home where some people have lived for a long time. We found that two people spend most of the time in their rooms and have limited ability to take part in any activitiy in the home. Relatives spoken to said this was not detromental to their quality of life as people were always around and communicating with them. Another resident likes to go out daily and spend time doing their own thing. I go out every day if I can, gets me out and about. We spoke to the owner about routines in the home. They said they are flexible and people can get up and go to bed when they choose. Some people we spoke to told us they like to use their rooms as they choose. Comments included, I like my own space to do things I want to. Staff recognise this and were seen to be courteous when entering their rooms. There is a choice of lounges as well as a dining room and people were using these areas during the visit. We saw people are free to move around the home when they choose to. We saw people have a choice about when they have their meals and one resident was Care Homes for Older People Page 13 of 24 Evidence: having a late breakfast as this is their choice. We were told by people using the service that the meals were very good. We saw there are special diets in place for people who require specific foods. The owner told us they vary the menus so that people have a good range of food and a balanced diet. There are no restrictions for visitors to the home. We were told people are always welcome. Visitors were at the home during the inspection and told us they liked the way the home cares for their relative and they felt confident they could meet their needs. Care Homes for Older People Page 14 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this 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 arrangements for recording and responding to complaints are good making sure people feel listened to. Staff have access to safeguarding training for the protection of users of the service. Evidence: We looked at the homes complaints procedure, which is made available to people and relatives or advocates during the admission process. We were told by a resident they are aware of the complaints procedures and how to use them. Comments included, I tell them if I am not happy about something. The information the home provided the Commission with prior to this inspection told us they have not had any complaints in the previous twelve months. We spoke to the owner about how people are protected they told us one staff member has just completed training and all other staff have received training in this area so people are protected. Care Homes for Older People Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A clean and suitably adapted environment is provided. Lack of maintenance to peoples rooms means they are provided with basic facilities. Evidence: We looked around the home and found there have been improvements to the decoration in the lounge and dining areas of the home. People we spoke to said, I like to spend time in here its brighter than it used to be. Some people choose to use the lounges and dining areas when it suits them. People we saw were able to use all areas of the home as it suited them. Some people had personal items with them including individual pieces of furniture and photos, pictures and ornaments. Some people use their rooms throughout the day. One person spoken to said they liked to keep their room as they liked it. Staff spoken to said they try to make sure people have everything they need. There are a number of vacant rooms which are basic and would benefit from decoration and replacement furniture. In addition rooms used by some people living at the home would also benefit from decoration and replacement furniture to make them more comfortable for the people using them. There is currently one bathing facility available to people using the service. This meets Care Homes for Older People Page 16 of 24 Evidence: the needs of the current resident group. Comments inlcuded, I like to have a shower, its easier than a bath. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 are procedures in place for recruiting staff, ensuring the safety and protection of people. Evidence: There have been no changes to the staff team since the previous inspection of the home. It is run on a day to day basis by the owner who is supported by a small staff team. We looked at how the staff team are utilised to meet the needs of people during the day and nighttime periods. We found the home is using a skills mix of staff so that there is always a member of staff on duty with the knowledge and skills to meet the needs of people living there. People we spoke to told us they were happy with the way their relatives are supported. Comments included, this is the best place my relative could live in, they cant do enough. Staff have access to training and we saw records of staff recently undertaking safeguarding training so people are protected. Most staff working in the home have a recognised care qualification and the owner makes sure all mandatory training is up to date so the staff team have the knowledge and skills to care for people living there. Training in the area of mental health and Dementia care is where the home should develop training so that the staff team will be equipped with the specialist knowledge and skills. Care Homes for Older People Page 18 of 24 Evidence: We looked at a staff file. They showed us staff are recruited safely using procedures which take into account information about their skills and competences for the role applied for. Information about them included application and interview records, references which have been checked, Criminal Record Bureau (CRB). Protection of Vulnerable Adults (POVA)checks to make sure they are safe to work with people who may be vulnerable. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this 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 managed for the benefit of all users of the service with systems and policies in place for the safety and protection of people living and working there. Evidence: We saw the owner is running the home on a day to day basis in the best interests of residents and staff. Comments included, they cant do enough. We found that some of the records and systems in the home have been reviewed or are at the review stage, so that the information is up to date. Staff were able to follow clear instructions in the records for the health and welfare of people living there. We saw there is a clear line of management responsibility. We found the owner makes sure people receiving a daily allowance sign for this so there is a clear audit trail and accountability of how the allowance is managed. Other people living in the home have their finances managed by family or advocates. Care Homes for Older People Page 20 of 24 Evidence: By looking at records we saw regular tests and servicing of essential equipment including, gas, electric and fire had current certificates in place ensuring the safety of people using the service. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 19 23 The home must be 26/02/2010 maintained in a good state of repair both internally and externally with all parts kept clean and reasonably decorated. Poor decoration internally and externally means people living there do not have homely environment in which to live. Care Homes for Older People Page 22 of 24 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, Care Homes 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 1 19 16 There must be improvement 30/07/2010 in the maintenance and provision of furnishings in peoples rooms. So people live in comfortable and pleasant surroundings. 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 30 The home should focus on developing training for staff in specific areas of Mental Health and Dementia as these are two specialist areas of care and would meet the specific needs of people living at the care home. Care Homes for Older People Page 23 of 24 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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