Inspection on 04/05/05 for Abbey Lea Care Home

This inspection was carried out on 4th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Lea Care Home 07/06/07

Abbey Lea Care Home 03/01/06

Abbey Lea Care Home 04/10/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbey Lea Care Home York Road Barlby Selby YO8 5JP Lead Inspector Kate Shackleton Announced 4 May 2005 at 9:30am 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. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abbey Lea Care Home Address York Road, Barlby, Selby, North Yorkshire YO8 5JP 01757 213811 01757 708523 abbeylea@aol.com Holistic Care Provision Limited 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) Mrs Beverley Ann Emmett Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (23) of places J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Service users to include up to 23 (OP) and upto 23 (DE(E))up to a maximum of 23 service users 2 23 service users to be accomodated on the understanding that communal space be increased sufficently to satisfy National Minimum Standards for Care Homes for Older People-Standard 20, by 31st March 2006. Date of last inspection 04 10 04 Brief Description of the Service: Abbey Lea care home is a two storey building set in its own gronds and is situated in the village of Barlby, which is close to the market town of Selby. It is on a main bus route to the city of York. The home is owned by Holistic Care Provision Ltd and provides long term care for up to 22 older people who may have dementia care needs. It also has one further place, which offers respite care. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over seven hours. The inspector sat in both lounges observing and talking with service users. Discussions were held with the management and three care staff. Policies, procedures and records were examined. What the service does well: What has improved since the last inspection? What they could do better: Widening the survey and analysing the responses to produce a report could improve the Quality Assurance process. The annual development plan for the home should take account of the information provided from the quality assurance process and any other quality monitoring systems in place. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 Page 6 An overall assessment of the premises and facilities by a qualified person with specialist knowledge about older people and dementia care could provide valuable guidance about disability equipment and any environmental changes that might benefit the people living in the home. 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. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 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 J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 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) 3 People are properly assessed prior to admission to ensure that a prospective user of the service is appropriately placed and that the home can meet their needs. EVIDENCE: Case files examined showed that comprehensive assessments are completed prior to and following admission to the home. Assessments cover a range of issues e.g. Personal and social care needs, mental health, medication and nutrition. Personal and environmental risk assessments are completed. Standard 6 was not assessed. The home does not provide intermediate care. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 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) 7,8 and 10 Service user needs are met in a kind and respectful manner. EVIDENCE: Case files examined showed detailed care plans developed from the needs assessment. Plans identified the outcomes to be achieved and gave clear instructions to staff as to the tasks they needed to provide support with to achieve the outcome. The plan sets out any health care needs and records examined showed that users of the service are able to access health care professionals. Staff training covers staff attitudes relating to respect and privacy. Staff were observed interacting with users of the service, staff were helpful and polite with a lot of good-humoured banter being exchanged. Service users seemed at ease with staff. Discussions with staff demonstrated that they understood service users right to respect and privacy and were able to cite examples of how they do this in practice. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 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 and 15 Service users are provided with a choice of good home cooked meals EVIDENCE: Staff were observed supporting users of the service to make choices. Service users spoken to confirmed that they are able exercise choice in their daily lives. Staff induction training covers service users right to choice and in discussions with staff they were able to give examples of the types of choices that users of the service are supported to make e.g. rising and retiring times, clothing. food and recreational activities. The home has access to a local advocacy scheme. Menus seen showed a choice of food at breakfast, tea and suppertime. There is a set two-course lunch menu. Service users are offered an alternative if they don’t like the meal offered. A record of people’s food likes and dislikes is kept. In general there are set meal times but they can be flexible in line with peoples needs. Meals are provided at appropriate times and food and drinks are available throughout the night. The dining in room is comfortably furnished and clean. There are plans to extend the dining room to provide more space. The Quality Assurance Scheme surveys service users/ relatives’ views on the standard of food provided. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 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) 18 Service users are protected from abuse through appropriate policies, procedures and staff training. EVIDENCE: The home has an adult protection procedure in place and a copy of the local authorities multi agency adult protection procedure. Staff training covers abuse awareness and whistle blowing. Discussions with staff showed that they know to report any allegations or suspicions of abuse to their line manager or any another manager within the organisation. There have been no incidents of abuse reported since the last inspection. The manager is aware that staff that are deemed to be unsuitable to work with vulnerable adults are referred for inclusion on the Protection of Vulnerable Adults register. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 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) EVIDENCE: None of the above standards were examined at this inspection. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 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) 27 and 29 Service users are protected from harm through thorough recruitment practices and there is sufficient staff employed to meet their needs. EVIDENCE: Rotas examined showed that there is usually four care staff on duty during the morning, afternoon and evening and two staff awake during the night. Discussions with staff found that in general there is sufficient staff to respond to the needs of service users without having to rush them. Other dedicated staff undertakes catering and domestic/handyman duties. The staffing hours provided are above the minimum required Staff files examined showed a recruitment process that vets applicants for jobs properly. All appropriate references and checks are sought to minimise the risk of recruiting unsuitable people. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 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) 33 and 35 Service users best interests are promoted and reflected in the service provided. EVIDENCE: An attempt has been made to operate a Quality Assurance Scheme by surveying relatives of service users. Discussed with management the possibility of widening the survey group and publishing a report. Information from care plan reviews informs some decisions about service delivery. Records examined showed that proper arrangements are in place to safeguard monies held by the home on behalf of service users. All financial transactions are recorded and receipts are kept for any purchases made. J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 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 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 1 x 3 x x x J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 Page 16 No 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 33 Regulation 24 Requirement The registered person after systematically considering the quality of the service provided as well as the means for improving the service must provide a written report on these matters to the Commission. Timescale for action 30-09 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 33 Good Practice Recommendations The views of stakeholders in the community e.g. GPs Community Nurses, Care Managers, chiropodists should be sought on how the home is acheiving goals for sevice users. The registered person should arrange for an assessment of the premises and facilities by a suitably qualified person. (Recommendation from previous inspection report) 2. 22 J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Unit 4, Triune Court Monks Cross York YO32 9GZ 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 J53_J04_S59063_Abbey Lea Care Home_V222534_040505_Stage 4.doc Version 1.30 Page 18 - 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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