Random inspection report
Care homes for older people
Name: Address: Abbeyfield St Martins St Martins Martin Square Larkfield Aylesford Kent ME20 6QJ 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: Justine Williams Date: 1 9 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Abbeyfield St Martins St Martins Martin Square Larkfield Aylesford Kent ME20 6QJ 01732842628 Telephone number: Fax number: Email address: Provider web address: jan.moulton@abbeyfieldkent.org Name of registered provider(s): Name of registered manager (if applicable) Mrs Janet Moulton Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Abbeyfield Kent Society care home 41 Number of places (if applicable): Under 65 Over 65 41 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 41. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home St Martins is a purpose built two-storey building owned by the Abbeyfield Kent Society and registered for the care of forty-one older people who do not require nursing care.
Care Homes for Older People Page 2 of 8 Brief description of the care home The home is situated in the centre of Larkfield with shops and other facilities in the immediate vicinity. Accommodation consists of 33 single bedrooms and 5 doubles, which are being used as singles at present. Only 5 of the single rooms, and 1 of the doubles have en-suite facilities but the home has adequate toilets and bathrooms. There are three lounges, a large dining room and a spacious day care centre lounge within the home, which is used by residents in the evenings and weekends. There is a lift to the first floor. The home has adequate parking, either in the grounds of the home, or in the public car park opposite the home. The staff team includes a manager, a care co-ordinator, a team of senior carers and care staff who work a rota that includes 3 staff on waking duty at night. There are additional staff that cover administration, catering and housekeeping tasks. A designated maintenance person is also employed. Care Homes for Older People Page 3 of 8 What we found:
This focused inspection was carried out instead of a Key unannounced inspection. Following recent changes in guidance good or excellent services may receive a random inspection with the caveat that if through the AQAA or whilst on the random inspection any evidence comes to light that raises concerns that the methodology is converted to key. The home completed the AQAA on time and it gave us all the information we asked for. Surveys were sent to people who use the service, staff who work at the service and health and social care professionals. The information received was used in this report. We looked at two outcome groups: Complaints and Protection, and Staffing. The home has a clear complaint procedure which is given to all new residents when they move into the home. It is also displayed prominently on a notice board. 5 complaints have been received in the last 12 months, all were resolved within 28 days. Minor complaints are dealt with in the same way as more serious ones, and are recorded, investigated and acted upon. The manager looks at complaints to track any patterns or trends, and the information feeds into the quality assurance system. Service users surveyed said staff always listen and act on what they have to say, and they know how to make a formal complaint. The home has a detailed adult protection policy which includes guidance for staff on what constitutes abuse. The care coordinator spoken with had a clear understanding of what her responsibilities are should abuse be reported to her. The home has a copy of the Kent and Medway local authority policy. Staff receive training in adult protection on induction and yearly updates are given to all staff. Staffing The home divides a 24 hour period into 3 shifts 7am-2.20pm when 5 care staff are on duty, 2pm-9.20pm when 4 staff are on duty and 9pm -7am when 3 waking night staff are on duty. These numbers are adjusted according to the numbers and needs of the service users, and additional ancillary staff are on duty to ensure good standards are maintained with respect to meals, cleaning and laundry services. A clear written rota is kept showing what staff are on duty and in what capacity 24 hours per day. 20 of the 23 care workers have attained NVQs and 2 are currently studying for NVQ. The remaining staff member was employed recently. The home operates a thorough recruitment process, and all the information and checks required by legislation and good practise had been carried out. 3 staff files were looked at in detail, each contained completed application forms, 2 written references, evidence of CRB and POVA checks, proof of identity, and evidence the General Social Care Council code of conduct had been given along with a staff handbook. All new staff receive a thorough induction which includes shadowing more experienced
Care Homes for Older People Page 4 of 8 care staff, and training in core areas including adult protection, health and safety and moving and handling. The induction is carried out over 3 months and is compliant with Skills for Care. Staff receive training updates in mandatory and core training as well as specialist training to enable them to care for the residents differing needs. A training matrix is kept which shows what training staff have had and when they had the training, this makes organising updates and ensuring staff receive the training they need easier. What the care home does well: 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 Older People 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 Older People 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 Care Homes for Older People 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 Older People 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
