CARE HOMES FOR OLDER PEOPLE
Abbey Care Rest Home 14 Hampton Road Blackpool Lancashire FY4 1JB Lead Inspector
Jackie Riley Unannounced 25 August 2005
th 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. Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Abbey Care Rest Home Address 14 Hampton Road Blackpool Lancashire FY4 1JB 01253 341 458 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) Mr Gulan Asger Abdullah Mukadam Dr Bilquis Mukadam Care home only 11 Category(ies) of (DE) Dementia (9) registration, with number (MD) Mental Disorder (2) of places Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Two Mental Disorder excluding Learning Disability or Dementia (MD) are to be maintained until the two service users no longer reside at the care home. 2. There is a requirement for a registered manager to be in post at all times, until such a time the registered provider has gained the knowledge, skills and qualification to undertake the management of the home on a day to day basis. Date of last inspection 16th June 2005 Brief Description of the Service: Abbeycare is a registered facility, providing care for ten adults who suffer dementia and one adult suffering from 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 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. Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was the second statutory inspection for 2005-2006. There have been no changes in residents since the previous inspection in June 2005. The one member of staff employed at the care home, currently works on a part time basis at weekends. The home is managed in a day-to-day capacity by the registered owner and registered manager. There were no visitors at the home during the inspection. The inspector spoke to two residents during the inspection and toured the building. What the service does well: What has improved since the last inspection?
Contracts between the home and residents have been developed and are now in place for all residents living at the care home, to make sure there is an agreement regarding the terms and conditions of residency, and for the protection of all parties involved. The homeowner has in place policies and procedures for adult protection, and this would be used for staff training to make sure staff have the knowledge and skills in this area and for the protection of residents living at the care home. There is a maintenance plan for all work identified in the home requiring attention, including all decoration and the replacement of items, so that there
Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 6 is a clear record of the home being maintained for the comfort of residents living there. There was evidence of radiator guards being put in place around the home for the protection of residents living there. 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. Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 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 standard(s) These standards were not inspected. EVIDENCE: Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 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 standard(s) 10 The promotion of respect and privacy is promoted in the home, however appropriate locking mechanisms on toilet and bathroom doors would further support this. EVIDENCE: The respect of residents is recognised by the providers of the service to be important, to make sure they are listened to at all times and to make them feel comfortable and safe in the homes environment. One resident commented on how they felt supported and made to feel they belonged there. In general Privacy is upheld and promoted although there is a need to make sure appropriate locks are in place on toilet and bathroom doors to ensure residents can be certain of Privacy whilst using these facilities. Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 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) 14 Residents have choice in their daily lives, although this in some cases is restricted based on individual risk assessment, for their own personal safety. There remains a requirement for the development of an activity programme to meet the specialist needs of residents living at the home. EVIDENCE: Residents living at the care home have choice in most aspects of their daily lives. One resident said, “I like going out every day for a cuppa and to see things going on”. However due to the level of care some residents need this is based upon individual risk assessment to make sure no resident is faced with undue risk to their own or anybody else’s safety. As previously recognised, there is a requirement for the development of an activity programme for the specialist needs of residents living at the home, which would provide them with stimulation and recreation. Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 11 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) These standards were not inspected. EVIDENCE: Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 12 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, 26 The homes has an ongoing maintenance programme to make sure it is a safe environment. It is clean and hygienic to make sure residents have comfortable surroundings in which to live. EVIDENCE: Since the previous inspection there has been work undertaken to fit radiator covers for the safety of residents living at the home. Work is still being undertaken in spare rooms, which are currently not occupied, to redecorate and upgrade, ready for the admission of residents. A maintenance record has been introduced since the last inspection, which highlights areas of work already undertaken and work to be considered for the improvement of the home. Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 13 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) These standards were not inspected. EVIDENCE: Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 14 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) 38 There are systems in place to ensure the health and safety of residents living at the home and staff working at the home are protected. EVIDENCE: At the time of the inspection there was evidence areas of health and safety are being met by the registered provider. A recent fire inspection made a few recommendations, which have been addressed. Certificates for electrical safety are in place. Testing of electrical equipment is being addressed by the owner to ensure all electrical appliances in the home are safe to use. A gas certificate is in place, the heating system was fully replaced within the last twelve months, and provides a more appropriate level of heating throughout the home for the comfort of residents. Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x
COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x 3 Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 16 yes 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 10 Regulation 4(a) Requirement All toilet and bathroom facilities must have appropriate locking mechanisms for the privacy of people using those facilities. The home should must ensure there is a social activity programme in place appropriate to meet the residents needs. (Timescale extended) Timescale for action 31.10.05 2. 12 16(a) 31.10.05 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. Refer to Standard 26 Good Practice Recommendations On going maintenance work should continue to make sure all areas of the home are in a good condition for the admnission of residents to rooms which are currently unoccupied. Abbey Care Rest Home F57 F09 S60139 Abbey Care Rest Home V246611 250805 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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