Inspection on 05/05/05 for Aabletone

This inspection was carried out on 5th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Aabletone 14/11/08

Aabletone 25/01/07

Aabletone 09/11/05

Aabletone 05/01/05

Aabletone 28/07/04

Aabletone 29/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Aabletone Waltham House Stoke Park Road Stoke Bishop, Bristol BS9 1JF Lead Inspector Savio Toson Unannounced 05 May 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Aabletone Address Waltham House, Stoke Park Road, Stoke Bishop, Bristol BS9 1JF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0117 968 2097 0117 962 6283 Cedar care Homes Ltd to be appointed Care Home with Nursing 41 Category(ies) of Old Age (41) registration, with number of places Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate 41 persons over 51 years of age requiring nursing care. 2. May accommodate up to 3 persons receiving personal care aged 65 years and over. 3. Manager must be an RN on Parts 1 or 12 of the NMC Register. 4. Staffing notice dated 18/10/2000 applies. Date Implemented: 1 April 2002 Date of last inspection 05/01/2005 Brief Description of the Service: Aabletone Care Home provides nursing for older people. It is a period building with bedrooms on two floors. The ground floor has two communal areas; a spacious lounge/ dining room and a further small lounge. The home has a patio and garden to the rear and car parking to the front. The home is close to open public spaces and there are local shops near by. In addition to the nursing and ancillary staff the home employs a physiotherapist who provides physiotherapy and co ordinates activities in the home. The home has also introduced an resident’s support worker who is based in the communal areas. the current registered manager of the home has left to take over another home within the company and a matron along with a deputy have been appointed. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector toured the premises, spoke to 5 residents, 2 visitors, 6 staff, the matron and the home’s management representative. A range of documentation was viewed and assessed. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 6 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4, Prospective service user’s can make an informed choice about moving into the home. EVIDENCE: 1. the home has a Statement of Purpose and copies of the Service User Guide were seen in most bedrooms. 2. the inspector viewed several contracts and terms and conditions of residency which contained the relevant information, number of the room to be occupied and the fee to be charged. 3. the care documentation contained assessment documents which had been used to assess residents for whether the home can meet their needs. 4. Potential resident’s are invited to visit the home to see if they find it suitable for them. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 Residents can expect to receive appropriate care provided with their privacy and dignity being respected by the staff. EVIDENCE: 7. the care plans viewed were in good order, kept up to date, reviewed and included evidence of consultation with the resident’s of the family. The care plans contained a range of information and detailed descriptions on the points for staff to consider when carrying out care. The information in the care plans helped to ensure the provision of individualised care. 8. The needs and requirements discussed with some of the residents were reflected in the care plans. 9. The inspector viewed the medicine administration sheets which were correctly filled in. the medicine trolley was correctly stored. 10. Service users who spoke with the inspector could describe how their dignity and privacy was respected by the staff. The inspector observed staff knocking on resident’s bedroom doors before entering and holding appropriate Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 9 conversations with residents. The inspector noted that residents were groomed, well presented and wearing clean clothing. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15. Residents contact with their family is encouraged. Service users can exercise choice in aspects of their lives. Meals are balanced and nutritional. EVIDENCE: 12. The home offers structured activities, planned entertainment and a member of staff allocated to the lounges to spend time with the residents and help meet some of their basic needs. The activities were on display in the form of a weekly timetable, entertainment( e g a film show) was advertised on a poster in the main lounge. The home has allocated staff to spend their time in the lounge working with the residents. 13. The matron explained the home had an open door policy and the service offered to relatives. Relatives were consulted on a regular basis about the residents care and progress; a record of these discussions were kept in the care plan and signed by the relative. The relatives who spoke to the inspector expressed satisfaction with the home and how their relative was being care for. The home has a quiet room for relatives and residents to use. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 11 COMMENDATION. Providing a comfortable room, offering refreshments and coffee making facilities, regularly consulting relatives, documenting the discussion and getting relatives to read and sign the written record is commendable. 14. The care plans contained regular references to residents needing to be respected and make choices of clothing to wear and plan their daily routine. Residents could describe they exercised choice in getting up, which meal to eat. 15. The menus viewed offered a choice of meals. The meals were traditional and offered meaningful alternatives. The lunch viewed by the inspector was to a good standard and all the resident gave positive or neutral responses on their view of the food. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18, Residents benefit from complaints being taken seriously and staff being trained to protect residents from abuse. EVIDENCE: 16. There were a few minor complaints recorded in the complaints book. The evidence showed they had been dealt with quickly, the complainant was heard and a response provided within a short timescale. The inspector noted the complaints were made verbally and the complainant had signed to acknowledge the response form the home’s representative. A recent concern was dealt with very efficiently by the home’s owners. 18. there has been an allegation of abuse and the home’s management took the appropriate action. Staff confirmed the were receiving training in their role to protect vulnerable adults. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26. Residents benefit from a well maintained home found to be in good decorative order, clean comfortable and free from offensive odours. The residents lived in comfortable, individualised bedrooms which and contained their personal possessions. EVIDENCE: On the whole the home was found to be warm, clean and tidy. The home uses a lot of vinyl flooring which is kept very clean. In some of the bedrooms the inspector noted debris and dirt between bed and walls but this not detract from the home being clean. Some of the bathroom still did not have locks fitted as required from the last inspection but by the end of the inspection the identified bathrooms were having locks fitted. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 14 The bathrooms and toilets offered a range of equipment and facilities. The inspector found some that were being cluttered with chairs but this was a short term situation which was going to be quickly sorted out. Due to office refurbishment the inspector noted furniture, timber and plastic sheeting outside the residents who’s bedrooms overlook the back garden. The intention was to remove the debris as soon as possible. The lounges were clean, tidy, appropriately furnished and well arranged. The front entrance was used as a sitting area and a patio was being created outside the back lounge. The bedrooms were comfortable and furnished to the resident’s tastes. The home had a range of equipment to assist residents in their daily routines. Sampled resident’s laundry was found to be clean, repaired and free from stains. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,30. The residents received care from a staff group which was getting regular training and some who were Staff progressing through their national vocational training. EVIDENCE: 27, the home employs arrange of staff. on the day of inspection the home had care staff, physiotherapist, catering, 4 domestics, maintenance men on site. 30, a number of staff had started their National vocational Qualification training in care, training sessions were being advertised in the home. Staff who spoke with the inspector could describe the course they had recently attended. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,36,37,38. The residents lived in a well organised home where staff received supervision and guidance. EVIDENCE: 31. The manager is newly appointed by the home and has submitted an application to the Commission to become the registered manager. This process will require the Commission to take up references and for the manager to be interviewed by the inspectorate. 36. The manager had set up a supervision structure to carry on what was already in place. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 17 37. The care documentation viewed by the inspector was well set out, contemporaneous and in good order. the folders contained the policy and procedures which the inspector randomly selected. 38. The home has a Health and Safety policy and the manager confirmed that a safety audit had recently been carried out. The inspector pointed out two observations wet floor with out a yellow warning sign on display and a member of staff using just the rear wheels of a wheelchair to move a resident across a vinyl floor which had been recently mopped. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x 3 3 2 Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 19 38 Good Practice Recommendations The debris in the back garden needs to be removed and for the view to become more attractive to residents living in the ground floor bedrooms alongside the back garden. the risk of wet floors without signs and staff tilting wheelchairs needs to be assessed and safe solutions found. Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection 300 Aztec West Almondsbury South Gloucestershire BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Aabletone D56_D05_S20261_Aabletone_V238015_050505_Stage 4.doc Version 1.20 Page 21 - 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. 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