Inspection on 24/11/05 for Abbey Lawns Limited

This inspection was carried out on 24th November 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 Lawns Limited 22/08/07

Abbey Lawns Limited 06/07/06

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 Lawns Limited 3 Anfield Road Anfield Liverpool L4 0TD Lead Inspector Les Hill Announced Inspection 24th November 2005 09:15 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 Lawns Limited DS0000063109.V257035.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 Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Abbey Lawns Limited Address 3 Anfield Road Anfield Liverpool L4 0TD 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) 0151 263 5930 0151 263 5814 Abbey Lawns Ltd Luna Yvonne Skeete Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (10) of places Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 61 nursing care and 13 personal care within the overall total of 61 10 adults with a physical disability within the overall total of 61 Date of last inspection 11 July 2005 Brief Description of the Service: Abbey Lawns is a privately owned care home providing both nursing and personal care for 61 residents. The home is set in a residential area of the city close to both Everton and Liverpool football grounds. The home backs onto Stanley Park. The area is due for regeneration and many of the residential streets around the home are to be demolished or refurbished. The building is spacious and well maintained. The home is made up of two units, each with its own group of staff. Resident’s rooms are located on two floors and there are lounges and communal areas around the home. The home benefits from a large patio area and lawns to the rear. A car park with flowerbeds along the building is located at the front of the home. The area is well served by public transport and fairly close to the city centre. The home has its own mini-bus. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection of Abbey Lawns took place on Thursday 24th November 2005. The inspection lasted for approximately 6.5 hours and involved the examination of some records, a tour of the building, discussions with managers and nursing staff and individual discussions with 10 residents and two visitors. The inspection was undertaken as part of the Commission’s responsibility to visit and report on each registered care home on two occasions each year. What the service does well: What has improved since the last inspection? Appropriate procedures are now in place for the admission of residents outside the approved registered status of the home. Abbey Lawns Limited DS0000063109.V257035.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 Lawns Limited DS0000063109.V257035.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 Lawns Limited DS0000063109.V257035.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, 4, 5 and 6 Good information is provided for prospective and current residents. Detailed pre-admission assessments were in place and the home encourages preplacement visits and a trial stay. EVIDENCE: The home’s statement of purpose and the service users guide contain all the required information and are presented in an easy to read style. Individual contracts are in place and wherever possible, are signed by the resident. An annual letter is sent out to advise residents and their relatives of any annual uplift in fees or any changes to the contract information. The inspector sampled seven residents care files. Each of them contained an assessment of need that had been completed prior to their admission to Abbey Lawns. The documents identified health and personal care needs as well as family contents and the interests and hobbies of the resident. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 9 Abbey Lawns has been providing care and support to older people for some time. It has also developed skills in providing care and support to younger disabled residents through variations to the registered status of the home. Pre-admission assessment’s, care plans and the views of residents expressed to the inspector would confirm that Abbey Lawns is providing good standards of care to people living in the home. Prospective residents and their families are encouraged to visit the home and to spend some time there before making a decision to move in and are supported through a trial period before taking the decision to stay. Work has begun to clear the site for an extension to Abbey Lawns that will eventually provide accommodation for younger adults. The home is not contracted to provide Intermediate Care. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 10 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, 8, 9, 10 and 11. Comprehensive care plans are in place and are being reviewed on a regular basis. The health care needs of residents are assessed and appropriate treatments administered. Some minor practice issues in respect of the management of medicines should be addressed. EVIDENCE: Comprehensive care plans were in place on the seven care files sampled during the inspection. Care plans identified the health and social care needs of residents and the care procedures that should be followed to manage the needs safely. Evidence was available to confirm that care plans are being reviewed on a regular basis. Nurses monitor and record wound care, taking photographs where necessary to confirm the progress of treatments. Two of the current residents have a pressure sore that had developed prior to admission. Improvements in the healing process could be noted from the records made. A number of residents have risk assessments in place for the use of bedrails. Covers were available for most of them but others were being used without the Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 11 appropriate bumpers. The manager should ensure that the safety of residents is protected by the appropriate use of bedrails with compatible bumpers. The home receives good support from local GP’s and district nurses when appropriate. Two GP’s hold regular surgeries in the home, during which time they review the medicines they have prescribed and attend to any health care matters that are presented by their patients. Specialist advice and support is gained from regular contacts with the Tissue Viability Nurse, Continence Adviser and Dietician. A chiropodist visits to provide a service for which there is a small charge. Specialist therapies, including Reiki, Indian Head Massage and Reflexology are provided through funding from the Primary Care Trust (PCT) and supplemented by the home. Speech and language therapists visit individual residents when the appropriate medical practitioner refers them. Medicines in the home are stored appropriately. The home uses a pharmacy based in St Helens for its prescribed medicines and receives a supportive service. The medicine records examined were generally well kept except for some minor examples of missing signatures on MAR charts and non-dating of eye drops, both in the Anfield unit. The home is in the process of setting up new arrangements for the disposal of medicines and the destruction of Controlled Drugs. A policy and procedure should be drawn up to ensure that medicines are disposed of safely and that strong accountability procedures confirm the destruction of Controlled Drugs. Throughout the inspection staff were observed to treat residents with dignity and respect. Personal care was provided in private and staff knocked on bedroom doors before entering. Consultations with health care or other professionals are carried out in the privacy of the resident’s own room. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 12 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, 13, 14 and 15 Activities are given appropriate priority and residents are supported as individuals with individual needs and preferences. EVIDENCE: The home employs and full time and a part time activities organiser. In addition staff, ex students and the relatives of residents no longer in the home regularly volunteer to help with outings from the home. A monthly newsletter is produced that recognises any resident’s birthday during the month and all planned activities. The newsletter for November 2005 identified an activity for most days. On the day of this inspection a group of residents were taken out to the Knowsley Safari Park. One of the resident’s files identified that they had been swimming. There was clear evidence around the home that some residents had chosen the decoration and furnishings for their own room. Residents who spoke with the inspector said they were supported as individuals and were consulted about everything that affected them. The home provides a choice of cereals or cooked meals at breakfast time, a choice of coked or cold meals at lunchtime and a cooked or lighter meal at Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 13 teatime. The menus have been revised and offer a full range of foods that are well prepared. Special diets are catered for and care plans identify when soft or blended meals are required. Choices outside the menu for the day are available if residents don’t wish to take the meals provided. All of the residents and visitors who spoke with the inspector and expressed a view on the food provided were complimentary about the range and quality of meals served in the home. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 14 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 and 18 Appropriate complaints policies and procedures are in place and steps have been taken to ensure staff are aware of adult protection matters. EVIDENCE: The home has an appropriate complaints policy and procedures in place. Two complaints have been made to CSCI in the past twelve months. One was resolved to the satisfaction of the complainant and the second was new and ongoing at the time of this inspection. All of the residents are listed on the Electoral Register. Those who wish to register their vote in national and local government elections are supported to do so. Policies and procedures are in place to advise staff of the procedures to be followed when dealing with allegations of abuse. The matter is included in the induction programme for new staff, in NVQ training and in ongoing training and staff meetings. Abbey Lawns Limited DS0000063109.V257035.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, 21, 22, 23, 24, 25 and 26 Abbey Lawns is an adapted property that provides generous, homely and safe accommodation for residents. EVIDENCE: Abbey Lawns is an adapted property with Grade 2 listing, that provides accommodation for residents in two groups (Anfield and Goodison) and on two floors. A passenger lift and staircases access the upper floors. The construction and layout of the building provides a non-institutionalised environment that has accommodation on different levels within each unit and has small internal hallways with groups of three or four bedrooms. There are several lounges a dining room and activities room. The grounds are well maintained with a large patio and lawns to the rear and flowerbeds to the front. There is an ongoing programme of re-decoration and a good standard of housekeeping. Lounge areas are well fitted out with carpeting and comfortable chairs. Bathrooms and toilets are located throughout the home. Assisted bathing facilities are located in each of the units. The homeowner has plans to improve Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 16 bathing facilities in general as part of the new building programme. Overall the general maintenance of the home is good. Call systems are in place and were working effectively at the time of this inspection. Calls have to be cancelled at source. Resident’s bedrooms varied in size but all met minimum standards for space. The home has six double rooms but these are generally used for single person occupancy unless a married couple or friends ask to share. All of the bedrooms had been personalised to a greater or lesser degree by the resident or their family. The premises were clean and tidy and there were no offensive odours present at the time of this inspection. Contracts were in place for the removal of “sharps” and clinical waste. Equipment to prevent the spread of any MRSA infection was in place and staff were carrying their own alcohol based hand gel. One member of staff is allergic to the current brand and the home should explore an alternative solution. Abbey Lawns Limited DS0000063109.V257035.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, 29 and 30 Above minimum staffing levels are being maintained at the home. Staff training is provided and is ongoing to keep up with current trends and developments. EVIDENCE: The home’s rota confirms that one qualified nurse and six care staff are on duty in each of the units, every morning and one qualified nurse and five care staff are duty in the afternoon. Two qualified nurses and five care staff are on duty across the home, through the night. The home has some trainee staff (under 18 years) that support residents but do not engage in providing personal care tasks and they have nurses in training from local colleges and universities. The home manager has been approved to supervise nurse adaptation training. All newly recruited staff work with experienced colleagues and follow a programmed process of induction. 28 of the homes 47-care staff (60 ) have an award at NVQ level 2 in care (or above). Four other care staff are working to achieve this award. The homes recruitment and selection procedures were inspected through the examination of five staff files. An application form and two references were in place and there was evidence that appropriate documentation had been obtained for overseas and “adaptation” staff. Separate files contained evidence of POVA and CRB clearances and confirmation of identification documents. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 18 The home’s manager gave information to confirm that training had been provided in First aid, manual handling, adult protection, care practice, safe handling of medicines, risk assessments, fire safety, COSHH training, dementia care and mental health awareness. Future training was planned in each of the above subject areas and in stroke re-habilitation. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 19 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, 32, 33, 34, 35, 36, 37 and 38. Strong management of the home is evidenced in the records. Staffing levels, the general presentation and upkeep of the building and the views expressed by residents and their relatives. EVIDENCE: The home’s manager is a Registered General Nurse and has a number of years experience in caring for older people in a care home setting. She has an award at NVQ level 4 in care and has a certificate in supervisory management. She is a qualified NVQ assessor and regularly updates her own knowledge through training and study days. During the course of the inspection interactions between managers and staff appeared to be open, friendly and professional. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 20 Residents and visitors who spoke with the inspector were positive about the ethos and management of the home. They said they felt safe and were confident that they were being supported well. They confirmed that their views and opinions were listened to and felt they could approach any of the staff, including the manager with any concerns or complaints. The managing director of Abbey Lawns Ltd is on site most days and knows all of the residents. As a qualified nurse he routinely undertakes pre-admission assessments. He also prepares monthly Regulation 26 reports on the conduct of the home a copy of which is forwarded to CSCI. The manager undertakes a six-monthly evaluation of the home’s performance seeking the views of residents and their visitors. A supply of compliments/complaints forms is located in the entrance foyer at the home. Resident’s meetings are held six-monthly and staff meetings are held every three months. The homeowner acts as appointee for five residents and two residents are subject to Power of Attorney arrangements. Residents who don’t handle their own financial affairs have savings invested in their known bank account, post office account or have Court of Protection procedures in place. Family members or friends support others. The accounts and day-to-day records of money held on behalf of residents by the home will be examined in more detail at the next inspection. Staff are supported through regular one-to-one supervision sessions that identify staff development and training needs. All records seen during the inspection were well kept. Maintenance and associated records are up to date and contracts are in place for the regular checks of equipment and services. The home’s fire alarm system and hot water supplies are routinely checked and any adjustments or repairs made. COSHH assessments are in place and are updated by the housekeeper, as required. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 21 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X 3 3 3 Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 22 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 3 Refer to Standard OP7 OP9 OP26 Good Practice Recommendations The manager should ensure that all bed rails are fitted with appropriate, compatible protection. The manager should ensure that staff sign for medication as it is given out and that eye drop dispensers are dated when first opened. The manager should ensure that alternative protective hand gel is provided for staff that have an allergic reaction to the product currently in use. Abbey Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Lawns Limited DS0000063109.V257035.R01.S.doc Version 5.0 Page 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. 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