Inspection on 12/09/05 for Abberdale House

This inspection was carried out on 12th September 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

Abberdale House 22/10/08

Abberdale House 11/02/08

Abberdale House 13/10/06

Abberdale House 30/11/05

Abberdale House 10/06/04

Abberdale House 30/03/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Abberdale House 165-169 Hinckley Road Leicester Leicestershire LE3 0TF Lead Inspector Kim Cowley Unannounced Inspection 12th September 2005 11:00 X10015.doc Version 1.40 Page 1 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 Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 2 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. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Abberdale House Address 165-169 Hinckley Road Leicester Leicestershire LE3 0TF Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0116 2915660 0116 2915660 None Shankar Leicester Ltd Marie French Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (24), Old age, not falling within any other category (24) Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15.02.05 Brief Description of the Service: Abberdale House accommodates 24 older people, some of whom have dementia or mental health needs. The home is on three floors and has a passenger lift. It is situated on the Hinckley Road about a mile from the centre of Leicester. The home has three lounges, a small smoking room, and a large dining room. At the rear of the home is a secluded garden with seating areas. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on a weekday. When undertaking inspections, The Commission for Social Care Inspection (CSCI), focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ three residents living at Abberdale House. This means the inspector checked their care records and met with them. In addition the inspector met a further three residents, and interviewed the Owner, Manager, and one of the care staff team. The premises were toured and communal areas and bedrooms inspected. Further care and other records were examined. Four recommendations were made. The staff team is commended. What the service does well: Abberdale House specialises in the care of residents with mild dementia and mental health needs. The staff team are experienced and have specialist training in this area. The premises are secure and homely. A varied programme of in-house activities is provided including bingo, baking, reminiscence sessions, and visiting entertainers. There is a hairdressing room and a mobile hairdresser. Church services are held in the home. An experienced qualified chef is employed and most dishes are homemade using fresh produce. All residents interviewed said they like the food. One resident said ‘The food is very good’, and another commented ‘The meals are different every day.’ All areas of the home inspected were clean, tidy and fresh. There are a range of lounges so residents can choose where they sit. Doors are alarmed to prevent residents from wandering and the garden is fenced off. Residents who smoke can use the designated lounge or the garden. The home has a warm and friendly atmosphere and staff appear to get on well with residents and be knowledgeable about their care needs. Relationships between staff and residents were seen to be caring and professional. One resident commented, ‘The staff are very kind and help me when I need them to.’ The staff team is commended. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 6 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 3 Residents are fully assessed by the Owner and one of the Managers prior to entering the home to ensure their needs can be met. EVIDENCE: The home has a mixture of private and social services funded residents. All are fully assessed prior to admission. The Owner and one of the Managers visit them in their own homes or in hospital in order to do this. They also talk to relatives and health professionals to get their views on each resident’s needs. If a prospective resident is diagnosed with dementia staff liaise with their consultant. These steps help to ensure that the home is suitable for a particular resident and that staff can care for them properly. Once admitted each resident has a four weeks trial period. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 7, 8, 10 Care plans are mostly comprehensive and of good quality. They clearly set out residents’ needs and explain how staff are to meet them. Local health professionals provide a full range of services to the home. Staff treat residents with respect and maintain their privacy. EVIDENCE: Three case files were inspected in detail. All were comprehensive and contained clear instructions to staff on how to meet residents’ needs. Minutes of social services reviews showed that residents are happy with care at Abberdale House. One file did not contain a photograph of the resident in question. This must be addressed. The home specialises in the care of residents with mild dementia and mental health needs and provides them with a secure and homely environment. Staff are experienced in this area of care. This year all care staff completed a 12weeks ‘Dementia Awareness’ course at a local college. The Manager said ‘We found this course very useful. It explained the roots of some of the behaviours associated with dementia, for example wandering, and gave staff strategies to Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 10 deal with them. My staff know that there is always a reason for what looks like irrational behaviour.’ Records showed that staff take a holistic approach to residents’ care and there is regular input from doctors, nurses, chiropodists, dentists, opticians, hearing services, and other medical personnel. The home has an examination and treatment room, which residents can use for private consultations or medical treatment. Arrangements for health and personal care giving are individual to each resident. Staff use their assessments as a starting point, and then get to know the resident in person, gradually finding out their individual likes and dislikes. Each resident’s preferred term of address is established when they are admitted to the home and staff are made aware of what this is. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 12, 13, 14, 15 A varied programme of activities is provided. Visitors are made welcome at the home and have a choice as to where they see residents. Residents are encouraged to make choices about their lifestyles. The cook provides a varied and wholesome diet, which was praised by all the residents interviewed. EVIDENCE: In-house activities include bingo, board games, television, baking, and reminiscence sessions. A librarian brings books (including large print) and CDs to the home every few weeks. Visiting musicians provide entertainment every three months to residents. Relatives/friends are also invited and the next booking is for a banjo player. Residents’ comments included ‘We play bingo and win prizes’, ‘The staff find things for us to do’, and ‘I’m looking forward to the banjo player.’ The home has a fully equipped hairdressing room and a qualified hairdresser visits the home two days a week from 9am to 2pm. The Owner said there is a small charge for this service. Catholic communion is held in the home every week, and a Church of England service once a month. Residents can also attend local churches. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 12 Visitors see residents in their rooms or in one of the lounges. Visitors are offered refreshments and invited to dine with residents if they wish (there is no charge for this). Visitors are invited to attend occasional social events at the home, the most recent being the home’s VE Day celebration party. The home’s Terms and Conditions state that visitors are welcome at the home at any time. Residents are encouraged to bring personal possessions and small pieces of furniture to the home, and all bedrooms inspected were uniquely decorated for the occupant. Smoking is allowed in a designated lounge and in the garden. The home has four smokers who have all been ‘risk assessed’ and are supervised where necessary. The home has an experienced qualified chef who has a City and Guilds in Cooking for Hotels and Restaurants. The majority of dishes are homemade using fresh produce. Meals are served at the following times: Breakfast 8 – 9.30am Lunch 12 noon Tea 4.30pm Supper 7.30pm Residents’ comments about the food included: ‘The food is very good.’ ‘There’s always enough to eat.’ ‘I don’t like fish so if we have that I have something else instead.’ ‘The food is lovely.’ ‘The meals are different every day.’ Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 16, 18 The complaints procedure would benefit from being made more user-friendly and should be displayed in the home. Good systems are in place to protect residents from abuse. EVIDENCE: The home has an internal complaints procedure, which includes information on how to contact the Commission for Social Care Inspection and the local Ombudsman. This is given to all residents and their representatives on admission. On the day of inspection the copy usually kept on the home’s notice board was missing. This should be replaced. It is also recommended that a more ‘user friendly’ complaints procedure is produced which is easier for residents and their representatives to follow. The home has a policy on abuse, which explains the different forms abuse might take, and advises staff on how to respond to allegations of abuse. There is also a whistle blowing policy and an updated copy of ‘No Secrets’. The Manager said staff try to create a culture in the home where both staff and residents can raise any concerns they may have about any aspect of care. She said protecting residents from abuse is stressed during staff induction, training, and supervision. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 19, 26 The home is clean, tidy, and fresh, and is well decorated and maintained. EVIDENCE: All areas of the home inspected were clean, tidy and fresh. There are a range of lounges so residents can choose where they sit. Doors are alarmed to prevent residents from wandering and the garden is secure. Residents made the following comments about the home: ‘The staff are always cleaning my room.’ ‘This home is very clean.’ ‘The decoration is lovely.’ ‘All the rooms look nice.’ Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 15 Since the last inspection the front lounge has been redecorated and the rear lounge is in the process of being redecorated. All bedding has been replaced and some new beds have been purchased. The part-time maintenance man is responsible for the decorating and maintenance of the home. The Owner said the home is in the middle of a 2 years redecoration programme during which time he intends to have every room redecorated. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 16 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 30 The staff team are knowledgeable about residents’ care needs and have warm and professional relationships with them. Staff receive good training opportunities. EVIDENCE: The home employs a Registered Manager, a General Manager, seniors and care assistants. The staff team is established and some staff have worked in the home for over 10 years. The Owner works full-time in the home and is closely involved in its day-to-day running. He shares an office with the Manager. There are four to five staff on duty from 7am to 2pm, three from 2pm to 9pm, and two on waking nights, with a senior member of staff on call for emergencies. The home has a warm and friendly atmosphere, and staff get on well with residents and are knowledgeable about their care needs. Relationships between staff and residents were seen to be caring and professional. One resident commented, ‘The staff are very kind and help me when I need them to.’ The staff team is commended. The Manager has just successfully completed her NVQ Level 4 Registered Manager’s Award. Most of the care staff have NVQ Level 2 and one is doing Level 3. Two members of staff were interviewed and both praised the home’s staff training programme. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 17 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 Two improvements are needed to safeguard residents. EVIDENCE: During the inspection it was found that a resident had fallen but no record was made of this in the accident book (although a record was made in the resident’s case file), nor was there any record of any decision being made as whether or not to seek medical attention, or to contact the next of kin. In future appropriate records should be kept and CSCI notified under Regulation 37 if an accident is considered serious. A broken window restrictor was found in the first floor bathroom near to bedroom four. This must be repaired to increase resident safety. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 18 The Owner said that the Fire Officer inspected the home on 12.04.05 and was generally satisfied with the arrangements for fire safety. One recommendation was made (regarding fire notices) which the Owner said has been met. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 19 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. 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No 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. 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 3 4 Refer to Standard OP7 OP16 OP38 OP38 Good Practice Recommendations All residents’ files should contain a photograph of the resident in question. The complaints procedure should be made more userfriendly and displayed in the home. The broken window restrictor in the first floor bathroom near to bedroom four must be repaired to increase resident safety. Improvements are needed to the way accidents in the home are recorded/reported. Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Abberdale House DS0000053123.V248967.R01.S.doc Version 5.0 Page 22 - 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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