Inspection on 13/02/06 for Abbey The

This inspection was carried out on 13th February 2006.

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 The 05/06/07

Abbey The 03/11/04

Abbey The 12/05/04

Similar services:

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Braeburn House - North Yorkshire County Council

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

CARE HOMES FOR OLDER PEOPLE Abbey The Town Street Old Malton Malton North Yorkshire YO17 7HB Lead Inspector Mrs Rosalind Sanderson Unannounced Inspection 13th February 2006 12:30 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 The DS0000007737.V281308.R01.S.doc Version 5.1 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 The DS0000007737.V281308.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Abbey The Address Town Street Old Malton Malton North Yorkshire YO17 7HB 01653 692256 01653 692256 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) Mr Walter Bishop Mrs Josephine Anne Bishop Mrs Ann Race Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 2004 Brief Description of the Service: The Abbey is a large detached grade 2 listed property set in extensive grounds. The original building dates from the 12th Century. The care home is located in the old town area of Malton and is conveniently situated for all of the main community facilities including the public transport network. It is set back from the main road and is adjacent to a church. It has a private driveway leading to the main entrance with parking space for several vehicles. There are gardens to the front and back of the property that have seating for use by the service users. The large back garden provides a good level of privacy for the service users. The Abbey provides accommodation and personal care for a maximum of 24 service users over the age 65. The home does not provide nursing or specialist care. The home will provide short-term and day care providing the capacity allows and it does not impinge on its registration criteria. It is the policy of the home that bedrooms will only be shared with the full agreement of the service users involved and/or their representatives. There are 16 single occupancy bedrooms and 4 doubles. There are stairs and a passenger lift servicing both floors. All of the bedrooms, except one, have en suite facilities consisting of a bath, toilet and wash-hand basin. There is a main lounge, dining room and several additional small lounges or quiet areas for use by the service users on the ground floor. Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted for six hours including preparation time. The registered providers and registered manager were available to assist throughout the inspection. The inspection focused on the key inspection standards that remained to be assessed in this inspection year. Service users, staff and a visitor were spoken with. Their comments and views are included in the summary and body of the report. Service users records, activity programmes and health and safety records were looked at along with records relating to service users finance. What the service does well: 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 The DS0000007737.V281308.R01.S.doc Version 5.1 Page 6 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 The DS0000007737.V281308.R01.S.doc Version 5.1 Page 7 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): Not assessed at this inspection EVIDENCE: Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 Page 8 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): 7,8,10 Service users healthcare needs are met. EVIDENCE: Each service user has a plan of care in place that addresses individual health and social cares needs. Risk assessments have been carried out and a plan of care put in place to reduce identified risks. Service users or relatives signatures in care plans indicate that they are fully involved and agree with the care plan. Care plans are kept up to date and they are regularly reviewed. Service users spoken with commented, ‘ The staff treat me well, I never have to ask for anything, they know what I want.’ Another said, ‘We are all looked after brilliantly and we want for nothing’ Asked about privacy and respect one service user said, ‘The staff always knock before entering my bedroom and wait for me to say it’s ok to come in. I like them to do this’ Another commented, ‘I need help in the bath but am then able to manage to wash myself, the staff leave me to have a wash and come and help me out’ A relative said that she was pleased with the care of her relative at the home. Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 Page 9 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. Service users enjoy the fulfilling lifestyle that they experience at The Abbey EVIDENCE: There is an activities organiser who is extremely enthusiastic about her role. Service users are consulted about what activities they would like to take part in and the programme is devised around their wishes. The home has a lot of contact with the local community and the villagers join in a lot of activities at the home. Lottery funding was secured last year for the VE celebrations and the many people from the village attended. Additional monies needed for activities are generated by fund raising events such as raffles, tombolas and a ‘Hunt for the Easter Bunny day’ when local children take part in the event. Service users are fully involved at these events. A relative said, ‘It’s a lovely atmosphere here, you are always made to feel welcome and get invited to all the social events.’ A service users commented, ‘I really enjoy the musical entertainment and the trips out, its lovely to see the local children at Christmas and at the parties’ Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 Page 10 Another said, ‘I really enjoyed the VE day celebrations last summer, they were fantastic.’ Photographs displayed around the home showed residents and villagers enjoying the day. Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 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&18 Service users are safe and they and their relatives can be confident they will be listened to. EVIDENCE: There had been no complaints since the last inspection. Service users and relatives are all given a copy of the complaints procedure with the service user guide and are reminded of it regularly at meetings and on an individual basis. A relative said, I know how to make a complaint and who to speak to but I have never had to do it and don’t imagine I will have to’ All staff have had training cascaded to them from the manager who has devised the programme. The training meets the requirements of the ‘No secrets’ document that is produced by the Department of Health and follows procedures laid out in the North Yorkshire County Council multi agency policy. Staffs understanding of the training is checked by a written questionnaire. Staff were clear about reporting procedures. Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 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): None of these standards were looked at during this inspection. EVIDENCE: Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 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): 28 Service users are supported by staff that are safe to care for them. EVIDENCE: The management encourages staff to undertake NVQ training and currently 61.9 of care staff hold this qualification at level 2 or above. There are also seven further staff undertaking the qualification. In addition to this training staff receive training relevant to their role to enable them to care safely for this service user group. Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 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): 31,33,35,38 The home is well managed. EVIDENCE: The registered manager is appropriately qualified and provided evidence that she keeps herself up to date with training and relevant legislation. She operates an ‘open door’ policy and this was seen at the inspection when staff and service users freely entered the office to discuss things with her. The manager regularly consults service users, staff and visitors about how the home is doing and uses the findings to formulate an annual plan for the home. The manager is currently developing the quality assurance further. The home has the ‘Investors in People’ award. Service users are provided with lockable facilities in their rooms so that they can continue to look after their finances safely if they wish. Those service Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 Page 15 users who request that the management look after their pocket money can be assured that this is done in a way that ensures their financial interests are safeguarded by strict accounting procedures. All relevant health and safety certificates relating to the home were seen and were up to date. Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 Page 16 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 X X X N/A 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 4 13 4 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? N/A 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 The DS0000007737.V281308.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office 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 Abbey The DS0000007737.V281308.R01.S.doc Version 5.1 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!