Inspection on 22/12/05 for Abbey Hey Care Home Ltd

This inspection was carried out on 22nd December 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

Abbey Hey Care Home Ltd 26/09/07

Abbey Hey Care Home Ltd 11/07/06

Abbey Hey Care Home Ltd 19/04/05

Abbey Hey Care Home Ltd 17/11/04

Abbey Hey Care Home Ltd 25/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbey Hey Care Home Ltd 1 Delemere St Oldham Lancashire OL8 2BY Lead Inspector Sandra Bennett Unannounced Inspection 22nd December 2005 09:00 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 Abbey Hey Care Home Ltd DS0000005484.V263588.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. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Abbey Hey Care Home Ltd Address 1 Delemere St Oldham Lancashire OL8 2BY 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) 01616249518 0161 624 9518 Dignity Care Group Carole Ann Kearns Care Home 40 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (10), Old age, not falling within any other of places category (15), Physical disability over 65 years of age (15) Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include: *up to 15 service users in the category of OP (Old age not falling within any other category). *up 15 service users in the category of PD(E) (Physical disability over 65 years of age). *up to 10 service users in the category of DE(E) (Dementia over 65 years of age). *up to 2 service users in the category of DE (Dementia under 65 years of age). No service user under the age of 55 to be admitted into the home. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 19th April 2005 2. 3. Date of last inspection Brief Description of the Service: Abbey Hey is a purpose built residential home for up to 39 service users, situated close to Oldham town centre, public transport and local amenities. The home is registered to provide care for service users in the following categories: Older People, service users with Dementia and those with a Physical Disability. Accommodation is provided in 34 single rooms, of which 33 have en-suites, and three shared rooms with en-suites. On the ground floor there are two large lounges and two smaller rooms, which can be used for dining or socialising, plus a large dining room. There is an additional lounge for service users on the first floor. Bathrooms and toilets are fitted with aids and adaptations in order to promote service users independence. Service users have access to a small-enclosed patio area and a small seating area to the front of the property. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unscheduled inspection took place on the 22nd of December at which time four service users were interviewed in private, several group interviews also took place. Three staff members were interviewed and two relatives. Discussions took place with the manager. A selected tour of the premises was undertaken and a number of records scrutinised which included, staff rotas, medication records and care planning. Service user and relative questionnaires were given out for completion. Only one relatives had been returned at the time of writing this report which stated they felt staff did a good job and were caring, however they were unaware of how to access the complaints procedure should they need to. What the service does well: What has improved since the last inspection? The home had completed all the requirements from the last inspection. Improvements had been made to the environment inside and out in line with the homes refurbishment plan which is still ongoing. A security fence had been provided around the perimeter of the home with aspects of the garden being landscaped to provide a water feature. This is lit up in the evening and can be viewed in the main lounge. Service users commented how nice and relaxing this feature was. At the time of inspection the home was transforming a storage cupboard into a shop for service users selling minor personal items. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 6 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 Hey Care Home Ltd DS0000005484.V263588.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 Abbey Hey Care Home Ltd DS0000005484.V263588.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): 1,2,3. (Standard 6 is not applicable to Abbey Hey) Service users are informed of the facilities and service in the home and contractual responsibilities of both parties allowing service users to make an informed choice. Service users needs are assessed prior to admission, which provides staff sufficient information to ensure they are able to meet service users needs EVIDENCE: The home has recently undergone changes in the environment and reduced their numbers of registrations. Therefore at the time of inspection the service user guide was being reviewed to reflect this. The report from the last inspection is situated in the entrance of the home. Service users recently admitted said they or their families had been informed of the facilities and services on offer. Four service user files were examined and were found to contain an assessment of their need and a copy of their contract. Abbey Hey Care Home Ltd DS0000005484.V263588.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): 7,9,11. Care plans matched the assessed needs of service users providing information to staff ensuring the needs of service users are met. Daily reports did not reflect the care delivered by staff which may pose a risk to service users. Staff maintained service uses privacy and dignity throughout their stay until the end of life. EVIDENCE: Four service user care plans were inspected; all matched their assessment of need and had been reviewed on a regular basis. Accidents had been recorded and reflected in daily reports. The manager also completes an accident analysis in order to assess any high-risk areas or times of day which may need preventative measures. At the time of the inspection two service uses had pressure sores which, were being treated by the district nurses. Aids and adaptations had been provided and appropriate charts maintained. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 10 Visits by health professionals were recorded; there were also information from families on service users likes and dislikes. Examination of daily recordings on care delivery found insufficient detail on the care delivered to service users. The home operates a communication book, which at times did include additional information on the needs of service users. However this method may lead to inconsistencies occurring which may result in service users needs not being met. Interviews with staff and service users found that staff had a good knowledge of service users needs and that service users were satisfied with the care they received. Medication policies, procedures and administration were examined and were found to be correct. Senior staff receive training in the administration of medication. Staff interviews provided evidence that staff had a good working knowledge of the care and supervision that service users require who may be at the end of their lives, ensuring their privacy and dignity are maintained. Policies and procedures in the home give staff guidance in relation to care of the dying. Abbey Hey Care Home Ltd DS0000005484.V263588.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): 12,15. Service users needs and preferences are known to all staff promoting service users choices, and upholding their preferences for how they choose to live. The meals and meal times in this home are good offering both choice and variety and catering for special dietary needs. EVIDENCE: Photographs of activities that had taken place in the home were on display in the hallway. An activity record is maintained including the names of service users who had participated. The manager reported that this system allowed an analysis to take place on which service users did not take part on a regular basis and may wish to undertake something on an individual level rather than group work. A hobby therapist is employed twenty hours a week to ensure recreation does not interfere with staff care duties. Service users were well presented and said “ clothes always come back from the laundry on time and are nicely ironed”, “another said there are lots of choices here and I can please my self what I do”. Also “I have only been here four weeks but have found the staff very good and helpful”. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 12 At the beginning of this inspection some service users were still in bed through choice and did not rise till 10 am. At which time one chose to have egg and bacon for breakfast and take lunch later than usual. The inspector sampled the meal of the day, which was lamb stew and vegetables, presented well, tasty and nutritional an alternative was also available. Abbey Hey Care Home Ltd DS0000005484.V263588.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): 16,17. The home has a satisfactory complaints system in place with evidence that service users feel their views are listened to and acted upon. Arrangements in place ensure that the manager and staff are knowledgeable about adult protection issues, which promotes the safe keeping of service users. EVIDENCE: Service users said they felt able to make a complaint to the manager or staff and that their concerns would be acted on. Interviews with relative’s also reflected this view. However a questionnaire returned to the Commission for Social care stated they were not aware of the homes complaints procedure. A copy of the complaints procedure is displayed in the home. A register of complaints is maintained however small and the action taken by the home to rectify matters. An example of this would be one service user said their were not enough plain crisps available, which resulted in the manager ordering an additional box and informing the service user of their action. The home works in partnership with Oldham Social Services training department, which provides staff training in the prevention of adult abuse. Staff at interview were aware of how abuse may present and action they would be required to take. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 14 Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 15 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): 19,20,24,25,26. The standard of the environment is good providing service users with an attractive, clean and homely place to live. EVIDENCE: This inspection took place over the Christmas period with the home being festive with decorations and Christmas trees. Service users interviewed were delighted with the decorations with some families making service users rooms festive with lights and small trees. In general most service user rooms were personalised and homely. The home is well maintained and has undergone some refurbishment in line with the refurbishment programme. An area still to be addressed are the corridor carpets, which the manager reported is due for renewal shortly. The registration numbers have been reduced to provide additional single accommodation. All rooms have ensuite facility with the exception of one. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 16 New developments in the home include security fencing around the outside of the property, seating areas and a water feature which service users can view from the lounge. Service users commented how much they liked the feature especially when lit up in the evening and they felt safer to walk out of the home into the garden area. The home was clean, tidy and free from odour. At the entrance of the home is a small storage cupboard that has been converted to provide a shop for service users should they wish to purchase any personal items and are unable to go out alone. Service users commented they were looking forward to the shop opening. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 17 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): 27,28,30. Staffing levels were in line with the service uses assessed needs ensuring service user needs are met. Staff training provided ensures protection for service users. EVIDENCE: Duty rotas were well planned and provided additional staff at peak periods of the day. Training that has been provided since the last inspection include:Dementia care level1 and 2. Yesterday, today and tomorrow, training in dementia care by the Alzheimer’s society. Moving and handling Health and safety Fire training. Staff who have completed NVQ2 training has reached 50 with the remaining staff presently enrolled for training. Staff at interview discussed how NVQ had given them a deeper understanding of the work they undertake and the needs of service users. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 18 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): 31. The home is well managed and runs an open and inclusive atmosphere. EVIDENCE: Has all the core standards were inspected on the previous inspection this is an overview of the management style on the day of inspection. The manger holds NVQ4, registered managers award and HND in care practices and continues their professional development through short course an example being dementia care. An open and inclusive atmosphere is maintained by the mangers open door policy. Throughout the inspection service users were constantly joining the inspector and manger in the office to see what was going on and give an opinion if they felt it necessary. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 19 Staff at interview said staff meetings did take place and they found the manger very approachable and would ask questions if they were unsure of any thing. Service users views were sought formally through questionnaires and informally through the activity co-ordinator, which, was felt to be a more relaxed environment. Any comments were recorded. Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 20 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 2 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 3 X X X 3 3 3 STAFFING Standard No Score 27 4 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 21 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 Refer to Standard OP1 OP7 Good Practice Recommendations The registered person should ensure that once the review of the service user guide is completed it is made available, to service users and their representatives. The registered person should ensure that any items relating to personal care of service users in the homes communication book are also reflected in daily reports. All care delivered should be recorded in daily reports. The registered person should raise the profile of the homes complaint procedure to service users and their families who may be unaware of were this is displayed. 3 OP16 Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Abbey Hey Care Home Ltd DS0000005484.V263588.R01.S.doc Version 5.0 Page 23 - 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. 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