Inspection on 14/07/05 for Abbey Lodge Residential Care Home

This inspection was carried out on 14th July 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 Lodge Residential Care Home 17/02/09

Abbey Lodge Residential Care Home 16/01/07

Abbey Lodge Residential Care Home 16/01/06

Abbey Lodge Residential Care Home 14/02/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Abbey Lodge 91 Seabrook Road Hythe Kent CT21 5QP Lead Inspector Julian Graham Unannounced 14 July 2005 9:30 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. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Abbey Lodge Address 91 Seabrook Road, Hythe, Kent, CT21 5QP 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) 01303 265175 mail@abbeyresthome.co.uk Abbey Lodge (Residential Home) Ltd Elizabeth Caroline Bown Care Home only 18 Category(ies) of Older People x 18 registration, with number of places Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14/02/05 Brief Description of the Service: Abbey Lodge provides accommodation and personal care for up to 17 Older People. The premises is detached and has 16 single and 1 double bedroom which are occupied on a single basis. Fifteen of the bedrooms have ensuite facilities. Accommodation is on the ground, first and second floor. There is a shaft lift servicing all floors and also a stair lift. Three bathrooms are available for service users’ use, two of which are assisted. There are communal sitting areas on all three floors allowing service users a choice of where to sit. One of the proprietors (Mrs Elizabeth Bown) manages the home and has gained the NVQ Level 4 qualification in management and care. The Home has achieved the Investors in People award. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 12.15 p.m and took place over three and three quarter hours. Ten of the residents were spoken with, all of whom saying they like the staff and are happy with the care they are receiving. One said she is being treated “exceedingly well”. A friend of one of the residents was visiting at the time and also said he was very happy with the way his friend has been helped to settle in. Time was also spent with the manager, staff were observed as they were going about their work and a carer was interviewed in private. A tour of the home was undertaken including viewing the communal areas of the home, toilets and bathrooms and a number of bedrooms. A small number of records were examined including care plans, complaints and accident records, medication and a staff file. What the service does well: There is a very relaxed, welcoming and friendly atmosphere in the home. Flexible routines are promoted in the home, and residents spoken with said they are treated as individuals and with respect. Opportunities to participate in the life of the home are encouraged, with one resident said that she enjoys doing a bit of light gardening. Supporting the residents in having an interesting day is a priority of the home, with staff demonstrating sound awareness and commitment to offer residents time for social and leisure activities. There is also respect for those not wishing to participate. One resident, for example, said she “likes my own space, but that staff are always there when I do want to talk”. Care planning is to a high standard, with regular review and evaluation. This means that the home is able to promptly identify when needs of the residents change and to know what action to take in response to this. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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 Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 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 Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 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) 3,4,5 The arrangements for admitting people to the home are good. EVIDENCE: Previous inspections have noted that the home’s Statement of Purpose and Service User Guide are informative documents that provide prospective residents with the information they need to make a decision about moving into the home. A written pre-admission assessment form for a prospective resident was seen. This was undertaken by Mrs Bown in the home where the person is currently living and contained detailed and comprehensive information, enabling the home to judge the suitability of the person for admission. The prospective resident also had the opportunity to come and visit Abbey Lodge and meet some of the staff and residents. A resident who has been living at Abbey Lodge since April was spoken with, and said that the manager had visited her in hospital where she was staying before her admission. She said she was able to talk to the manager about her Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 9 needs and that the manager “had explained everything about the home to me.” The relative of another prospective resident is liaising closely with the home with a view to participating closely in the person’s care. This is being welcomed by the home. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10, There is an excellent care planning system in place. Personal care is provided in a way that promotes residents’ dignity and privacy. Medication is well managed promoting good health. EVIDENCE: Residents were all looking very nicely dressed and very well presented. A resident said that staff always respect her dignity when attending to her personal care needs. The staff member who was interviewed individually, demonstrated sound knowledge of the way residents should be cared for and gave a good example of how she would ensure residents’ dignity when helping them with a bath. A sample of care plans were viewed and these were of an extremely high standard. Needs were clearly identified, and there was evidence of regular review and evaluation. Specific objectives have been agreed with residents and there is a regular assessment of the effectiveness of the care plan system as it applies to each resident. Residents said that the home arranges any appointments they may need with their GP and hospital. Entries were seen in care plans of changes in residents’ condition of health and the accessing of appropriate health care professionals Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 11 as needed. Residents’ files include moving and handling and other risk assessments, waterlow, nutritional and continence assessments which are kept under regular review. Records of weighing residents must be kept up to date. There is a new medication cabinet which contains a separate internal cupboard for Controlled Drugs should these be needed. The cupboard was very neat, clean and orderly. Sound procedures for the control and administration of medication were outlined by the manager, and clear, accessible written policies and procedures are available. MAR charts were in order, and the competence of staff to administer medication is periodically assessed and recorded using a form for the purpose. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 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 standard(s) 12,13,14,15 Routines are flexible and residents are able to take part in the life of the home where they wish. The meals in the home are good offering both choice and variety. EVIDENCE: Care plans showed that residents’ hobbies and interests are noted on admission. Several residents said that various games and social and leisure activities are offered, with bingo being a particular favourite. Residents were enjoying a game of bingo during the course of the inspection. One of the proprietors is now offering residents trips into town in the car, sometimes stopping off for a walk by the sea. A staff member was seen accompanying one of the residents for a walk up the road. This person said she is supported by staff in going for a walk every day. Residents can get involved in light household chores if they like, and the inspector saw one of the residents help clear the plates away from the lunch table. Residents said that there are very flexible routines with one resident saying that “it is not regimented in any way, you can please yourself”. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 13 Comments from the residents about the food were positive, and they said that alternatives to the main meal of the day are available if wanted. One resident said that staff “know my dietary requirements”. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 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 standard(s) 16,18 Residents have confidence that staff listen to their complaints and do what they can to put things right. Residents are being protected from abuse. EVIDENCE: Residents who were spoken with, said that they would feel comfortable making a complaint, and have confidence that their views would be listened to and acted upon. Complaints recordings showed that the home takes residents’ concerns seriously. Complaints records, however, must be kept separately in order to comply with Data Protection legislation. The complaints procedure is displayed prominently by the front door, and invites people to raise any concern they might have so that the home can take action to make improvements. The home must ensure that the correct name of the Commission is detailed on complaints documentation. The staff member who was interviewed privately said that adult abuse issues were covered in her initial induction training, which included watching a video on abuse. She knew the action to take in the event of any allegation or suspicion of abuse in the home. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 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 standard(s) 19,20,21,23,24,25,26 The standard of the environment is generally good, providing residents with a comfortable and homely place to live. Some areas are in need of refurbishment. EVIDENCE: A tour of the communal areas of the home revealed generally good decorative standards, and a sample of bedrooms seen were very comfortable and attractive, with good evidence of residents being able to personalise their rooms and bring in small items of their own furniture and other possessions. The vanity unit in one of the ensuite bathrooms, however, was badly damaged and needs attention. Toilets and bathrooms were clean and generally acceptable. The room containing the hip bath has been decorated since the last inspection. The bath panel in the downstairs bathroom is badly cracked and needs replacing. The home was clean and free from offensive odours. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 16 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) 27,29 The deployment and number of staff is sufficient to meet the needs of the residents. Recruitment procedures are sound, offering protection to the residents. EVIDENCE: At the time of inspection, there were five staff on duty, including the manager, deputy manager, a carer, cook and cleaner. After six o’ clock, there are two carers on duty. Residents said that staff are very kind and give them all the assistance they need. The staff member who was interviewed said that she does not feel rushed in her work, and that there is time to spend chatting with residents and involving them in other leisure activities. At the time of the last inspection, the home was experiencing quite a high staff turnover. Since then, things have stabilised, with three staff having left over recent months. These were for personal reasons, and not because of any concerns regarding the home or their employment, the manager said. The file of the most recently appointed staff member was viewed, which provided evidence of sound recruitment practice being carried out. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 17 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) 31,32,363738 Residents are benefiting from a well run home. EVIDENCE: The manager has the Registered Manager’s Award and is communicating a clear sense of direction and leadership to which residents and staff are responding positively. Individual staff supervision is provided regularly and is being well recorded. The supervision notes of a staff member showed that training needs, personal development and delegated responsibilities were discussed. Records are generally being well maintained, and no obvious health and safety concerns were noted, other than the need to risk assess the use of the kettle in the library. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 18 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 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 x 3 3 3 3 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 3 x 3 3 3 x x x 3 3 3 Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 19 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. 2. 3. 4. 5. Standard 16 21 24 38 31 Regulation 17. Schedule 4 23 23 13 37 Requirement Complaints records to be kept individually and separately. The bath panel in the downstairs bathroom to be replaced. Vanity unit in room 9 to be repaired/replaced. Risk assessment regarding the use of the kettle in the library to be available. All notifiable events must be reported to the Commission without delay. Timescale for action 14/07/05 14/08/05 14/08/05 01/08/05 14/07/05 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 8 Good Practice Recommendations Records of weighing residents to be kept up to date. Abbey Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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 Lodge H56-H05 S59725 Abbey Lodge V235930 140705 Stage 4.doc Version 1.40 Page 21 - 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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