Inspection on 06/08/09 for Abbey Grange

This inspection was carried out on 6th August 2009.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Abbey Grange 16/11/09

Abbey Grange 14/10/09

Abbey Grange 20/05/09

Abbey Grange 24/02/09

Abbey Grange 02/10/08

Abbey Grange 11/03/08

Abbey Grange 10/10/07

Abbey Grange 23/10/06

Abbey Grange 18/10/05

Abbey Grange 21/06/05

Abbey Grange 15/10/04

Abbey Grange 23/07/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 24/11/2009.

Random inspection report Care homes for older people Name: Address: Abbey Grange 47 Venns Lane Hereford Herefordshire HR1 1DT zero star poor service 02/10/2008 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: Denise Reynolds Date: 0 6 0 8 2 0 0 9 Information about the care home Name of care home: Address: Abbey Grange 47 Venns Lane Hereford Herefordshire HR1 1DT 01432271519 01432271519 ubheedave@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Aileen Ubhee,Mr Bissessur Ubhee care home 29 Number of places (if applicable): Under 65 Over 65 29 29 29 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 29 29 0 29 All residents must be at least 50 years of age on admission. That Mr Ubhee works a minimum of 30 hours a week at Abbey Grange in order to fulfil his responsibilities as the Care Manager. Date of last inspection Brief description of the care home Abbey Grange is situated in a residential area on the outskirts of Hereford city. There is a parking area at the front of the home and local buses pass within easy reach. The Care Homes for Older People Page 2 of 13 1 1 0 3 2 0 0 9 Brief description of the care home original part of the premises has been adapted for its current use. It carries a listed building status. This places some restriction for making desired alterations. The original building has been extended to provide additional, purpose-built accommodation. The home is registered to provide care to 29 people who are over 50 years of age and who have needs arising from old age, dementia or mental disorder. Information about the service is displayed in the main entrance hall of the home. A copy of the most recent inspection report is also displayed. A schedule of fees is available from the home. Additional charges are made for hairdressing, transport, escort, chiropody, toiletries and newspapers. Care Homes for Older People Page 3 of 13 What we found: We, the Commission did a short and focused inspection of the home on 6th August 2009 because of information we received from Herefordshire Council on 5th August 2009. We were told about a moving and handling training event arranged for 18 staff from the home on 4th August which only six staff attended. We were concerned because the trainer had encountered problems getting the right information from Mr Ubhee about who would attend and because on the day of the training Mr Ubhee was on holiday and staff at the home were not aware of the course. The trainer had spoken to a new manager at the home who was able to arrange for some staff to attend the course in the afternoon. Before we received this information we were not aware that a new manager had been appointed. We decided that we needed to go to the home to make sure that adequate arrangements were in place for the day to day running of the home and to obtain information about the new manager. We phoned the home before we went because we needed the new manager (who we will refer to as the acting manager) to be there if possible. On arrival at the home we met with the acting manager and a new administrator. On meeting them we found that both were known to us from another care service where they had worked previously. Both confirmed that they did not start work at Abbey Grange until their references and checks with the Criminal Records Bureau had arrived. This reassured us that both people are suitable to be employed in a care service and have recent experience relevant to managing one (although this was a domiciliary care agency, not a care home). The acting manager told us she had been at the home for just over a week. The administrator had started a few days ago. We asked them what had taken place in respect of the staff training and they confirmed that they had needed to work with Herefordshire Council at short notice to make staff available to attend. Most staff had either been rostered to work that day or were on a day off. The acting manager explained that one of her priorities will be to review and overhaul training arrangements at the home. To this end she had already taken steps to obtain assistance in doing a training needs analysis for the home. We asked the acting manager what other priorities she had identified and she detailed medication, care planning, record keeping and management and infection control as areas where improvements are needed. We asked if she had seen the most recent key inspection report (which has not yet been published). She had not seen this and we suggested that she ask Mr Ubhee if she could have a copy. This is because we considered she should be aware of the contents to be able to support Mr Ubhee in bringing about the improvements we consider are needed at the home. The acting manager and the administrator confirmed that they have contact details while Mr Ubhee is away, both for him and for the manager of another home he is involved in operating. They also confirmed that they have been given the financial resources and authority to deal with any emergencies that arise while Mr Ubhee is away and to make essential purchases. Care Homes for Older People Page 4 of 13 Both staff told us that they have recognised that work is needed to improve the service at Abbey Grange and that they have a meeting booked with Mr Ubhee as soon as he returns to discuss what needs to be done. They showed an energetic and enthusiastic committment to making changes and were hoping that Mr Ubhee would welcome this and support their efforts. We did not make any new requirements as a result of this inspection and did not check what action had been taken in respect of requirements made following our key inspection in May; we will be doing this at a later date. 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 13 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 1 4 Regulation 4(1) There must 31/07/2009 be an up to date statement of purpose and service user guide available in the home at all times. These documents must reflect the type and level of care that the home is set up to be able to provide. This is to ensure that the home has clear and realistic aims for the needs that can be properly catered for at the home and so people thinking of living there know what they can expect. 2 8 12 Regulation 12(1) You must have reliable arrangements in place for providing the personal care needed by each person living in the home. This is to ensure that each person has their individual care needs noticed and dealt with promptly and in the way best suited to them as identified in their assessment and care plan. 31/07/2009 3 9 13 The service must make 30/04/2009 arrangements to ensure that there are records for Page 6 of 13 Care Homes for Older People 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 medicines documenting what medication is stored and available within the service, including receipt, administration and disposal records. This is in order to ensure that the residents medication needs are being safeguarded. 4 9 13 Regulation 13(2)You must 31/07/2009 ensure that effective arrangements are in place for the stock control of medication and for ensuring that people reliably receive the medication prescribed for them. This is to make sure that you do not run out of peoples medication and so that people can be confident that you will give them the medication prescribed fro them by their general practitioner or other health professionals. 5 10 12 Regulation 12(4) You must 31/07/2009 make facilities available for private discussions, reviews, health consultations etc. This is to make sure that people living at the home have their dignity and right to privacy upheld. 6 12 12 Regulation 12(3) In addition to your set list of activities you must take steps to find 31/07/2009 Care Homes for Older People Page 7 of 13 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 out what peoples individual preferences are for how they would like to spend their time. This is to give people chance to spend time doing things that they enjoy. 7 15 12 Regulation 12(2) You must 31/07/2009 provide people who live at Abbey Grange with opportunities for influencing the range of meals provided. This is to give people a say over this important aspect of their lives and to improve the choice available to them. 8 15 12 Regulation 12(1) You must ensure that people are provided with the staff time and attention they need at meal times. This is to make sure that each person is given the support they need to eat their meals so that their nutritional needs are met. 9 18 13 Regulation 13(6) Mr Ubhee 31/08/2009 must do up to date safeguarding training and we strongly recommend that he does this in Herefordshire. This is to make sure that the manager is fully conversant with local multi agency safeguarding procedures; this will help him to make sure people living at Abbey Care Homes for Older People Page 8 of 13 31/07/2009 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 Grange are properly safeguarded. 10 19 12 Regulation 12 (4) You must provide facilities for conversations (including phone calls) about people living in the home to be in private. This is to make sure that peoples privacy and confidentiality is upheld. 11 27 17 Regulation 17(2) schedule 4, 31/07/2009 para 7 The staff rota must always reflect the actual as well as the planned staffing arrangements in the home. This is becuase the rota is an essential management tool to assist in making sure there are enough staff on duty . 12 28 19 You must ensure that in respect of all people employed at the care home all relevant information and documents as required by Regulation 19 is sought and available for inspection. A previous requirement regarding this is subject to formal action by the Commission at present. This is to help protect people living in the home from unsuitable staff being employed. 13 29 19 Where people are employed 27/03/2009 Page 9 of 13 31/07/2009 31/07/2009 Care Homes for Older People 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 to work at the home with a POVA 1st check ensure that appropriate arrangements are put in place to ensure that they work in accordance with Regulation 19(11) of the Care Homes Regulations 2001. To help protect people living in the home from unsuitable staff being employed. We have issued a statutory notice about this. 14 30 18 You must make arrangement 31/07/2009 to ensure that in future staff induction training is based on the nationally recognised workforce induction standards as set out by Skills for Care. This is to ensure that new staff entering employment at Abbey Grange are trained to nationally expected standards. 15 30 18 You must be able to 31/07/2009 demonstrate that any member of staff you leave in charge of the home has been assessed by you as being suitable to be given this responsibility. This is to ensure that there is a member of staff on duty at all times who is competent to take responsibility for the safety and well being of the people living there and of the Care Homes for Older People Page 10 of 13 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 staff. 16 38 13 Regulation 13(4) There must 30/09/2009 be at least one person trained in 1st aid in the home at all times. This will make sure that people who use services receive appropriate attention in an accident. 17 38 24A You must comply with the 30/09/2009 requirements of the recent inspection report by Hereford and Worcester Fire and Rescue Service To ensure that fire safety arrangements at the home will protect people living there in the even of a fire. 18 38 18 You must make 30/09/2009 arrangements to ensure that all staff receive training in health and safety related topics relevent to the work they do. This will ensure that the staff team has the necessary knowledge to provide safe care for people at the home. Care Homes for Older People Page 11 of 13 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 12 of 13 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. Copyright © (2009) Care Quality Commission (CQC). 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. 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