Inspection on 06/12/05 for Abbey House

This inspection was carried out on 6th 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 House 24/07/07

Abbey House 05/07/06

Abbey House 11/07/05

Abbey House 18/01/05

Abbey House 21/07/04

Similar services:

Applegarth

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbey House Stokes Drive Leicester Leicestershire LE3 9BR Lead Inspector Rajshree Mistry Unannounced Inspection 6th December 2005 9:55 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 House DS0000037630.V271162.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 House DS0000037630.V271162.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Abbey House Address Stokes Drive Leicester Leicestershire LE3 9BR 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 2312350 0116 2875186 Leicester City Council Mrs Jennifer Glover Care Home 33 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (33), Physical disability over 65 years of age (8), Sensory Impairment over 65 years of age (10) Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers PD(E) No one falling within the category PD(E) may be admitted into the home where there are 8 persons of category PD(E) already accommodated within the home Service User Numbers SI(E) No one falling within the category SI(E) may be admitted into the home where there are 10 persons of category SI(E) already accommodated within the home Service User Numbers DE(E) or MD(E) No one falling within category DE(E) or MD(E) may be admitted into the home when 20 persons who fall within categories/combined categories DE(E) or MD(E) are already accommodated within the home 11th July 2005 2. 3. Date of last inspection Brief Description of the Service: Abbey House is a registered care home providing accommodation for up to thirty-three older persons and is owned by Leicester City Council. The home is situated along a main road in a residential area. There is car parking space to the front of the home with street parking. The home is located approximately a ten-minute bus journey from the city centre. There are shops; pubs; a post office and other local amenities approximately half a mile from the home. The home is a large and purpose built property. There is level entry access to the home. Accommodation is offered on the ground and first floor level, which can be accessed by a passenger lift or the stair lift. Bedrooms are all single rooms with wash hand basins. Bath/shower and toilet facilities are located throughout the home. There are a choice of lounges and dining area accessible to resident on the ground and first floor and a designated smoking area. There is seating available for residents to the front of the home and the garden to the rear is landscaped. All areas of the home are accessible to people using mobility support, aids and equipment. The home is well maintained with comfortable furniture and decor. Abbey House DS0000037630.V271162.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 of the service, which took place over 3 hours on the morning of 6th December 2005. This is the second regulatory inspection of the service addressing the remaining core standards. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for the resident and their views of the service provided. The primary method of inspection used was ‘case tracking’, following the receipt of the pre-inspection questionnaire. Three residents were identified for case tracking including a new admission. Their care received was examined through reviewing their care records, discussion with the residents, their relative, the care staff, brief discussion with the visiting Community Nurse and observation of care practices. What the service does well: What has improved since the last inspection? Since the last inspection the following improvements have taken place: • • All the bathrooms in the home have been re-tiled and decorated to create a comfortable and relaxing room. Three day-carers and one night-carer have been appointed and commenced employment following pre-employment checks. Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 Page 6 • Measurements have been taken to the remaining windows on the first floor for double-glazing. 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 House DS0000037630.V271162.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 House DS0000037630.V271162.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. The assessment process is robust to ensure residents’ tailored care needs are met safely. EVIDENCE: Residents spoken with and care records examined showed all resident have their care needs assessed by the placing social worker. The admission procedure includes risk assessments being carried out with the new residents to ensure care needs can be safely met. Abbey House DS0000037630.V271162.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): 8, 9. Residents are well looked after having their choice of lifestyle, health and social care needs met. EVIDENCE: Residents spoken with confirmed they are consulted in the development of their plan of care, which reflects their choice of lifestyle. All residents indicated that they have identified key-workers. Observation during the inspection showed that staff have a good awareness of individual residents care needs, social and leisure interests and how these are met. Residents have access to GP and Community Nurse. The visiting Community Nurse spoken with briefly said “the residents are generally well cared and the home is always clean”. Records examined relating to the residents tracked demonstrated that residents’ social and health care needs are met in the preferred manner. The medication is stored in a locked room in locked cabinets. The management systems for ordering, storing, recording and returning medication are robust and auditable. Medication records examined against the medication for three residents were in good order and accurate. The storage and management of controlled medication is good. Residents spoken with stated they receive their medication promptly by trained senior staff. Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 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 the following standard(s): 14, 15. Residents are supported to make choices around daily living and activities. The home offers a good choice of meals to suit any special dietary needs. EVIDENCE: Residents spoken with described how the staff to make choices regarding their daily activities, contact with family and friend and interests supports the carers. Several residents indicated that they choose to retire to their bedrooms after lunch. The Inspector observed a member of staff supporting a resident to make a decision to attend a Christmas lunch and if necessary would ensure transport is arranged. The menu on the day of inspection was viewed and showed a choice of nutritionally balanced meals accommodating special dietary requirements such as soft food. Residents spoken with were all satisfied with the variety and selection of meals offered with fresh vegetables and fruits available. Meals are served in the dining rooms or residents can choose to eat in their own rooms. Comments received from residents included: • “You can choose what to do when you want” • “All you need is provided for” • “There is a good choice of meals . . . . . . I prefer the fruit buns with lots of butter, very little weak tea and a tipple”. Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 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 the following standard(s): 16. Arrangements for receiving and responding to complaints are satisfactory, resulting in protection of residents’ rights. EVIDENCE: The service users guide given to residents on or prior to admission sets out the complaints procedure and is also available in other formats. The contact details of the Advocacy Services are included and displayed on the notice board at the entrance to the home. Residents spoken with were aware of whom to contact and were confident that concerns and complaints made would be addressed promptly. Records showed no complaints had been received since the last inspection. Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 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 the following standard(s): 19, 26. Residents live in a safe, homely and well-maintained environment that is kept clean and tidy. EVIDENCE: The home is tastefully decorated and furnished to a good standard that creates a comfortable, homely environment. On the day of the inspection the home was clean and tidy. Residents’ bedrooms are personalised and bright. Residents and the visiting Community Nurse spoken with stated the cleanliness in the home is very good. The home is safe and well maintained with adaptations to suit residents’ specific needs. The home benefits from having a handy-person responsible for maintenance in the home. All the bathrooms have been re-tiled. Several bathrooms and toilets seen were clean and well ventilated. Staff spoken with stated they have sufficient supply at all times and were observed wearing protective clothing when carrying out personal care tasks. Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 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 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): 29. Residents are protected by the home’s robust recruitment procedures. EVIDENCE: The recruitment procedure is robust, which is managed by the Human Resource Team. Staff personnel files containing the application forms and preemployment checks are held at the Human Resource Office and the Registered Manager receives confirmation checks carried out are satisfactory. Since the last inspection four new staff have been appointed and commence employment after satisfactory pre-employment checks carried out. The Inspector examined training records for four members of staff ranging from Assistant Office in Charge, Senior Care and Carer. Records showed staff had completed the Local Authority Induction, policies and procedures and certified training in care, moving and handling, adult protection, health and safety and NVQ awards. Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 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 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. Residents’ and staff’s health, safety and welfare are being promoted and protected through the home’s policies and procedures. EVIDENCE: There is a programme of maintenance and checks in place, managed by the Handy Person who is also responsible for the minor faults and repairs, supported by the Maintenance Team within the local authority. Records relating to health and safety procedures such as regular fire drills and fire alarm tests are completed, to ensure the residents and staff health and safety is protected. During the tour of the home fire exits were clearly marked and were not obstructed. The storage of hazardous and COSHH materials is secure. Residents spoken with indicated that they felt safe both in the home and with the staff. Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 Page 16 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. Refer to Standard Good Practice Recommendations Abbey House DS0000037630.V271162.R01.S.doc Version 5.0 Page 17 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. 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