Inspection on 13/03/06 for Abbey View

This inspection was carried out on 13th March 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 View 11/12/06

Abbey View 07/11/05

Abbey View 01/12/04

Abbey View 14/06/04

Abbey View 02/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbey View Fairfield Coldharbour Sherborne Dorset DT9 4HD Lead Inspector Marion Hurley Unannounced Inspection 13th March 2006 09:30 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 DS0000020440.V283542.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. DS0000020440.V283542.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Abbey View Address Fairfield Coldharbour Sherborne Dorset DT9 4HD 01935 813222 01935 813889 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) www.coltencare.co.uk Colten Care Limited Mrs Joanna Ellis Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55) of places DS0000020440.V283542.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate a maximum of 30 service users who require nursing care. The home may accommodate one service user, name known to the CSCI, under the age of 65 in the category of PD. A recommendation is made that Mrs Ellis completes an NVQ 4 in management within six months. 7th November 2005 Date of last inspection Brief Description of the Service: Abbey View is a purpose built care home located on the outskirts of Sherborne in Dorset a few minutes walk to the Old Town and all amenities. It has good public transport links with both a railway station and numerous bus links. The home is registered to accommodate a maximum of 55 older people in 23 single and 2 double rooms on the ground floor and 24 single and 2 double rooms on the first floor. A passenger lift allows access to all floors. All rooms have en-suite toilet facilities and there are 3 assisted bathrooms on each floor. There are 3 lounges and two dining rooms plus an activities room available over two floors and hairdressing facilities, which are regularly available to all residents. The home offers off road parking for staff and visitors and there is also an attractive, well maintained garden/patio area, which is easily accessible. Colten Care Limited owns the home, a company who have a number of care homes in Dorset and adjoining counties, and is managed on a day to basis by a registered nurse, who has applied to be the Registered Manager. Colten Care Limited aims to provide residents with a secure, relaxed and homely environment in which their care, well-being and comfort are of prime importance. DS0000020440.V283542.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the inspection process legally required in accordance with the Care Standards Act 2000. Abbey View, The Registered Manager and Colten Care’s Operation Manager Mrs Enid Baker were was assessed according to the Care Homes for Older People, National Minimum Standards. The inspection took place over seven hours three of which were spent in the home. The registered manager was available throughout the inspection in addition to Colten care’s Operations Manager Mrs Enid Baker. A total of seven residents were spoken with three privately in their bedrooms whilst the others observed or joined in general discussions. Records and documents relating to those standards assessed were examined and read. Requirements and recommendations from the previous inspection were assessed and have been met. No further requirements or recommendations were issued during this inspection visit. What the service does well: The home has a warm and friendly atmosphere and those residents spoken with said that the staff were helpful. Staff also commented how the working atmosphere and the environment had changed over the past twelve months and that now there was a positive and open camaraderie within the staff team and this they accredited to the change in management twelve months ago. This is also reflected in the limited turn over of staff in the past twelve months. The home is now run with a full compliment of staff. Residents are offered a variety of foods and enjoy a healthy diet. DS0000020440.V283542.R01.S.doc Version 5.1 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. DS0000020440.V283542.R01.S.doc Version 5.1 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 DS0000020440.V283542.R01.S.doc Version 5.1 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): N/A The key standards were assessed and met at the previous inspection and were not assessed at this inspection. NMS 6 is not applicable to this home. EVIDENCE: Please note the requirement identified at the previous inspection has now been met and two pre admission assessments clearly showed that an account of the prospective residents social history, hobbies, religious and cultural needs had been considered and recorded. (NMS2) DS0000020440.V283542.R01.S.doc Version 5.1 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): 9 & 10 • The arrangements in the home to meet the residents’ medication needs are adequate and provide safe working practices. • The working practices in the home ensure that residents are treated with respect and there are positive and appropriate relationships between residents and staff. EVIDENCE: Care plans provide sufficient information about personal care needs, social interests and other areas of health and social care. Medication records were satisfactory, two members of staff sign for the handling and administration of controlled drugs and risk assessments about self-medication are completed. Arrangements for storage are safe and secure. The Primary Care Trust completed an audit of the medication procedures within the home in December 2005 and whilst overall stated that progress had been made since the previous audit there remained several good practice DS0000020440.V283542.R01.S.doc Version 5.1 Page 10 recommendations. The PCT report was made available to the inspector and it was evident that the recommendations had been addressed. The residents spoken with during the course of this inspection were quite positive about the staff and the care that they were receiving. They felt their need for privacy was acknowledged and respected. The home appears to follow the corporate policies issued by Colten Care Ltd.relating to privacy and dignity. DS0000020440.V283542.R01.S.doc Version 5.1 Page 11 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, & 15 • Regular contact with families and visitors is encouraged. • Within reason residents are able to exercise choice and control over how they live their lives. • The meals are nutritious and appealing, taking into account the likes and dislikes of most individuals. EVIDENCE: Residents and care records seen during the course of this inspection visit confirm that residents participate in a variety of in house activities and outings in the home’s own transport (mini bus.) Visitors are welcome to the home at any reasonable time, several of the residents were noted to have visitors during the inspection period. A record of visitors to the home is maintained. As demonstrated from the regular entries in the visitors’ book. Residents informed the inspector that they are within reason able to make choices and exercise some control about how they live their life and spend their time. The Activities Organiser keeps records of all the residents’ participation in the various activities. This information is added to the residents’ daily log kept with their main care plans and assessments. The Activities Organiser stated that they hope to introduce themselves to all new residents within their first DS0000020440.V283542.R01.S.doc Version 5.1 Page 12 week at the home and during this meeting and subsequent meetings develop a profile of the residents social history and identify any special hobbies /pastimes which could be pursued in the home. Within this profile specific needs and goals are also identified. The activities/event diary is based on a five week rolling programme. The activities are broad ranging from regular visits from the hairdresser, to an afternoon of board games, group games such as scrabble, musical entertainment, exercise classes and trips out. Holy Communion is available monthly for anyone wishing to participate and a fortnightly Bible study class is popular. All resident spoken with said they were quite happy living at the home and felt it met their needs. Two residents were able to describe their own routines and preferences which seemed to allow them some flexibility and some control over their lives in making daily decisions. The home’s chef is experienced and is aware of the residents’ dietary needs and despite the menus being issued corporately from Colten Care Ltd every four weeks is able to exert some flexibility according to the needs and preferences of residents living at the home. The chef is currently working with a dietician to develop a resident’s special diet. A choice is provided at every mealtime and the daily menu is displayed in the lobby. Residents are asked a day in advance to select their preferred meal. All the residents spoken with were happy about the quality of the meals and comments such as “ the food is generally good, and they do a good meal here” reflected the general consensus. One resident commented that they personally found the evening meal served at 17:00 rather early but accepted it if this suited others. Visitors are welcome to stay for meals though are charged for their meal. The chef visits all new residents within their first week following admission and completes a profile of their dietary needs and particular preferences. All records relating to the cleaning schedules, temperatures of food, and the appliances were checked and all were found to be up to date and clearly well maintained. DS0000020440.V283542.R01.S.doc Version 5.1 Page 13 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): N/A The key standards were assessed and met at the previous inspection and were not assessed at this inspection. EVIDENCE: DS0000020440.V283542.R01.S.doc Version 5.1 Page 14 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 • The home was well maintained throughout providing all residents with a safe, and comfortable environment in which to live. EVIDENCE: A tour of the communal areas of the home was made. The home appeared to be well maintained and decorated to a good standard throughout. The home was found to be clean and odour free apart from one area/bedroom, which clearly had an offensive odour, which was permeating into the corridor. This was not a reflection of the domestic staff who acknowledged the odour and stated they had tried various methods to eradicate it. However, this does still need to be addressed and resolved. The garden area is small but appeared to be well maintained. There is limited seating available for residents and visitors to use. A maintenance employee works part time in the home and in addition to completing minor repairs undertakes the regular checks on wheels chairs, bed rails and nursing/functioning beds. The maintenance log was well used and DS0000020440.V283542.R01.S.doc Version 5.1 Page 15 the employee marks off every task completed or where necessary refers to specialist services. The maintenance records and contracts were checked and all seemed to be up to date. The home employs five domestic staff one of which works in the laundry. The other four each have assigned areas of responsibility and sign at the end of their shift to indicate the work completed and or if any particular issues which might have arisen. The company housekeeper visits weekly and undertakes the occasional random inspection. Two domestic staff were spoken with and each said they were provided with ample supplies of protective clothing and appropriate cleaning products. Both had completed their mandatory training. DS0000020440.V283542.R01.S.doc Version 5.1 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 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): N/A The key standards were assessed at the last inspection and were not assessed at this inspection. EVIDENCE: All recruitment procedures are followed and any verbal references obtained are documented appropriately. DS0000020440.V283542.R01.S.doc Version 5.1 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 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 • The manager at the home is experienced and competent. • The management in the home is open and inclusive providing leadership for staff to ensure residents have a relaxed and comfortable lifestyle within the home. EVIDENCE: The manager is an experienced registered nurse and is currently studying for the NVQ level 4 in management. They have successfully completed the first unit. The course is run through Yeovil College and the assessor frequently visits the home to monitor and assess the manager’s progress. Records indicated that the manager keeps up to date with the basic mandatory training, and is shortly due to up date on moving and handling. There was evidence to show that the manager was communicating a clear sense of direction to the staff. Staff meetings are being held regularly and recorded. There was evidence to show that staff are consulted and are asked to put forward ideas and suggestions in relation to topics discussed. Seven staff were DS0000020440.V283542.R01.S.doc Version 5.1 Page 18 spoken with and stated that “the whole atmosphere had changed for the better” they felt the level of communication between them and senior staff was good, “the office door is open and you can go in and discuss anything” and all of this positive “feel good about yourself and the work” had a benefit for everyone especially the residents. Health & safety checks are carried out on all major systems and equipment in the home both internally and by contractors. Records confirming this information were seen during the course of this inspection. Staff receive fire training twice yearly records seen demonstrated that all staff are receiving this. Colten Care Ltd have agreed with the Fire Service that all staff need only receive fire prevention training every six months and not as previously recommended every three months for night staff. DS0000020440.V283542.R01.S.doc Version 5.1 Page 19 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 All staff must receive statutory fire training CHOICE OF HOME ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 Score Standard No 1 2 3 4 5 6 Score X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X X x DS0000020440.V283542.R01.S.doc Version 5.1 Page 20 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 DS0000020440.V283542.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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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