Inspection on 06/02/09 for Abbeville RCH Ltd

This inspection was carried out on 6th February 2009.

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

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

Abbeville RCH Ltd 09/02/07

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Abbeville RCH Ltd 58-60 Wellesley Road Great Yarmouth Norfolk NR30 1EX     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Alan Buttery     Date: 0 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Abbeville RCH Ltd 58-60 Wellesley Road Great Yarmouth Norfolk NR30 1EX 01493844864 01493745586 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Abbeville RCH Limited Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 35 Number of places (if applicable): Under 65 Over 65 3 35 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 0 Abbeville is situated in a residential area close to the local amenities of Great Yarmouth and within walking distance of the seafront. It is registered to accommodate 35 elderly people. The premises has increased in size with the Proprietors purchasing the property next door and converting this to include ten single ensuite rooms with a large lounge and extra outside patio space. The home consists of three storeys with a variety of communal areas. The home has thirty-one single and two double bedrooms all with en-suite facilities. Access to the upper floors is via two shaft lifts. To the rear of the home are two large enclosed patio areas with garden furniture, flowerbeds and shrubs and can be accessed by those using a wheelchair. There is a small car parking area at the front and also off street parking. The current fee range for the service is #281.00 to #410.00 per week. Care Homes for Older People Page 4 of 24 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: This was an unannounced visit during which we looked at the key minimum standards for older people. the manager of the service was available to provide information and documentation, and we also spoke with some of the staff working on the day, and people living in the home. We spent about four hours in the home and also looked at information provided by the service, and correspondence and notifications received in the past year. We undertook a tour of the premises, and spoke with some of the residents, and observed some of the activities taking place. Care Homes for Older People Page 6 of 24 Care Homes for Older People Page 7 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.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. Detailed information is gathered from people thinking of moving into the home to ensure that their needs can be met by the service. Evidence: The process of any admissions to this home was discussed with the manager of the home as part of our inspection. On the day of our visit the home were expecting two admissions, and the paperwork used was seen, which included an initial assessment. In addition we looked at three other individual files, which all included the assessment information. The home admits people who are both local authority and privately funded, but the process followed remains the same. The assessment is normally carried out by the manager of the home, and wherever Care Homes for Older People Page 10 of 24 Evidence: possible this would include a visit to the prospective resident. In addition the home always tries to arrange for the prospective resident to visit the home themselves, although this is not always possible. The service would then discuss with the prospective resident the services they have available, look at their individual interests and how the home could cater for these. The service does not provide intermediate care Care Homes for Older People Page 11 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. Individual plans show the identified needs of the person, and how they should be met, and show that he individual has been involved in preparing the plans in a way that suits them Evidence: Once the initial assessment process has been completed, and the service have agreed with the individual that the home can meet the identified needs, and initial care plan is produced, and arrangements made for the person to move into the home. Evidence of the plans was seen on the files we examined during our visit, including the one for the person moving in that afternoon. At the present time the home operates with two tier care plan, with a simple day to day plan and a more detailed person centred plan. this does seem a unnecessarily complex, and possible changes were discussed with the manager of the home, who is hoping to introduce a single care plan incorporating all the detail they hold. Care Homes for Older People Page 12 of 24 Evidence: The plans we looked showed evidence of recent review, one one that we looked at was very comprehensive in terms of the detail it contained about the person. the plans should show how the individuals Wier involved in the planning. The service uses the Boots medication system, and all the senior staff who administer medication have received training from the local college, and evidence was seen of this. At the present time, no one living in the home is able to administer their own medications, but procedures are in place to support anyone who wished to do so in the future. There are five GP surgeries local to the home, and people moving to Abbeville are supported in choosing a practice they prefer, or remaining with an existing practice. The manager said that they receive good support from all the surgeries, and from district nurses attached to them, and have a range of health professionals that they can call on for additional support, including occupational therapists, dieticians, physio therapists and speech therapists. Care Homes for Older People Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities are available for people in the home to choose from, and a choice of food avalable to people living in the home. Evidence: The home has a part time activities co-ordinator who plans activities and events for the people living in the home, which include reminiscence sessions, games, music and quiz sessions. the people living in the home have daily newspapers available and a library visits the home. A local hairdresser is available to anyone in the home, and visits weekly, and especially during the summer, and one person living in the home is supported to get a taxi to a local salon to have her hair done. Residents are supported to go out for walks on the sea front or in the local gardens, have tea or ice creams out and visit local amenities. Families also visit regularly and often take their relative out. Throughout the year entertainment is arranged including a local theatre group, parties, Care Homes for Older People Page 14 of 24 Evidence: a summer fete and musical sessions. A vegetable garden has been created at the home and a number of residents enjoyed helping to plant and tend the area last summer, as well as the fruits of their labour. They are already making plans for the coming year and will be visiting a local garden center to buy seeds and plants. Some of the vegetables grown last year were used by the cooks, especially salad crops. They provide a range of varied home cooked food, with a choice of lunchtime meal and desert, and hot or cold food at teatime. The dining area is well presented, and most of the residents choose to eat there although at present two people need support and have elected to have the meals in their own rooms. Care Homes for Older People Page 15 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. Procedures are in place to ensure that any concerns, complaints or allegations are appropriately dealt with, and people living in the home have information about how they should make concerns known. Evidence: A detailed complaints procedure is in place, showing how any concerns would be investigated and the timescale involved. The information is also contained in the residents handbook, but the contact detail for the commission is incorrect. Since the last inspection, there have been two complaints, and these have been dealt with in accordance with procedures. The are recorded in a complaints log which was seen during our visit. The service also has procedures in place to deal with any safeguarding issues, and there have been two in the past year. these were discussed with the manager, and clearly dealt with appropriately. Staff all receive safeguarding training during their induction, and regular updates, and this was in evidence in the staff files seen during our visit. Care Homes for Older People Page 16 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 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 well maintained and offers residents a clean and safe home. Evidence: The home is close to the sea front, and was originally two properties which have been combined, and offers well equipped facilities to the people living there. Across the front of the property are a series of small lounges, which offer the people living in the home a choice of where to sit, some are quieter than others. On the day of our visit the home was clean, and their were no unpleasant odours. Since our last visit, lighting in the home has been improved, and a number of areas redecorated. As mentioned earlier, a vegetable area has been created in the gardens, which although small also offer residents somewhere to sit outside in the better weather. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although procedures are in place to ensure that information required is obtained, this is not always being followed, and to ensure residents are not placed at risk, the required checks must be made. Evidence: During our visit we looked at the recruitment process within the home. The home is currently fully staffed, and the manager advised that almost all the staff team, including kitchen and domestic staff have achieved at least NVQ level2. The recruitment process is an accordance with the standards, and we looked at three staff records. These included application forms, but did not have the required references in place. The manager was made ware of the need to have at least two references for all employees, and will address this. Training records were also seen on the files examined, and the training included the mandatory training and some training specific to the needs of people living in the home, for example dementia awareness, diabetes and communication. We spoke with one of the seniors working on the day of our visit, who confirmed that training was good, and the service well managed. Care Homes for Older People Page 18 of 24 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 well run and the interests of people living there placed first. Health and safety procedures ensure that people living and working in the home are not at risk of injury. Evidence: The manager of the home has introduced a number of new ideas since the last inspection, and completed the process of registration with the commission, and completed the Registered managers Award. In addition she is now working on her NVQ level4. Residents and staff that we spoke to during the inspection all said how well she manages the home, and that is better than it was previously, and the home is now working much more closely with another home nearby and under the same ownership, for example on joint training. Care Homes for Older People Page 20 of 24 Evidence: We also observed the manager during our inspection in the way she interacted with residents, which was very positive. The proprietor of the home visits regularly, and undertakes the required checks, and provides support to the manager. The deputy manager of the home has recently moved to the other service owned by the provider, and until the home recruits a new deputy, the manager is having to undertake all the new assessments and supervisions. The supervisions are not therefore being done as often as required under the standards, and this should be addressed as soon as possible. Health and safety procedures are in place, and a maintenance person available to ensure maintenance checks and tests are carried out. Care Homes for Older People Page 21 of 24 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 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 16 22 Information about the complaints procedure must be up to date. To ensure people know who to speak to with concerns 31/03/2009 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 2 3 7 16 36 Individual plans should show how the person they relate to has contributed. The service should ensure information given to residents is up to date at all times Regular supervision must be place for all staff working in the home Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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!