Inspection on 07/07/05 for Abbeycroft Care and Nursing Home

This inspection was carried out on 7th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Abbeycroft Care and Nursing Home 05/07/07

Abbeycroft Care and Nursing Home 16/05/06

Abbeycroft Care and Nursing Home 30/11/05

Abbeycroft Care and Nursing Home 03/02/05

Abbeycroft Care and Nursing Home 27/04/04

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 Abbeycroft Care and Nursing Home Burnley Road Loveclough Rossendale Lancashire BB4 8QL Lead Inspector Graham Oldham Unannounced 07, 08 July 2005 10:00 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. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abbeycroft Care and Nursing Home Address Burnley Road Loveclough Rossendale Lancashire BB4 8QL 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) Care Home with Nursing 37 Regency Healthcare Limited Category(ies) of Physical disability (PD) 37 registration, with number Old age, not falling within any other category of places (OP) 37 Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 A Maximum of 37 service users requiring nursing care who fall into the category of OP or PD. 2 A Maximum of 37 service users requiring personal care who fall into the category of OP. 3 The registered provider/responsible individual shall at all times, employ a suitably qualified and experienced person who is registered with the NCSC as manager of Abbeycroft. 4 Where the registered person is not a 1st level nurse registered provider/responsible must at all times, employ a suitably qualified and experienced 1st level nurse who has clinical responsibility for service users at the ome who are in need of nursing care. 5 The registered person/responsible individual must notify the NCSC, without delay if this 1st level nurse gives notice to leave their employment at the hom, or ceases to be employed at the home. 6 The registered provider/responsible individual must keep NCSC advised of the progress of their recruitment and selection of a person to satisfy the criteria of condition number 5, where such a person is no longer employed at the home. Date of last inspection 03 February 2005 Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 5 Brief Description of the Service: Abbeycroft is registered to provide both personal and nursing care for up to 37 older people.It is purpose built and situated in it’s own well kept grounds, in a semi-rural location, on a main road close to the town of Rawtenstall. There are extensive views over the local countryside. Parking is available to the front of the property. and it is on a main bus route. Local amenities are close by Accommodation is provided in single and twin-bedded rooms on 3 floors. Communal lounges and dining rooms are available on each of the floors. One of the lounges is a designated smoking area. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 8th July 2005. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Three residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building and grounds was conducted. What the service does well: The ethos and management of the home elicited the following comments from residents, “I think we have a fantastic matron. She has given me my life back. She got me walking”, “I think it has gone better since the new owners took over”, “staff are very good”, “I have recommended other residents to come here” and “staff are excellent, they really are lovely”. More positive comments were recorded. The attitude of management and staff ensured the residents the inspector talked to were happy at the home. Visiting was unrestricted. Comments from visitors included, “there are no problems with visiting the staff are very nice. They are looking after my friend well”, “they bend over backwards to help you” and “staff are very welcoming”. Recruitment procedures were good and protected residents from possible abuse. The environment was being upgraded. Plans were in place to change the entrance and offices. Rooms had been decorated and a lot of equipment purchased to provide better facilities for residents. Personal support was given in a positive way with the inclusion of resident’s preferences. Staff training and supervision was ongoing to provide staff with better knowledge in caring for the resident group accommodated at the home. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 7 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. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 8 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 Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 9 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 Each resident was assessed prior to admission to ensure their needs were met. EVIDENCE: Four residents were involved in the case tracking process. This involved examining the plans of care. Plans of care contained social services and the homes own assessment documentation. Assessment documentation seen was of sufficient detail to enable the home to meet a residents needs and develop plans of care. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 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 and 10 Plans of care contained details of a residents care needs. Some plans of care needed some minor details completing to be of equally good quality to ensure all a residents wishes and need were met. Residents attended specialists and clinics and had their health needs met. The control and administration of medicines was well managed promoting the good health of residents. Privacy, dignity and the respect of residents was maintained by staff. EVIDENCE: Four residents case tracked gave the inspector detailed information about care given to them. Plans of care contained the details staff required to look after the residents. Staff gave a good account of the care residents received. Residents confirmed the care in the plans was as agreed and delivered by staff. This ensured staff had the knowledge necessary to care for residents needs. Plans of care and information given by residents confirmed health care needs were met. Medication policies and procedures were good and the medication charts had been completed satisfactorily. Staff had attended or were due to attend safe medication training. Medication was administered in a way to protect the health and welfare of residents. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 11 Residents were very satisfied with personal care given and thought staff preserved their privacy and dignity. One resident case tracked said, “I am helped with some of my personal care. They treat me very privately and don’t make me feel a burden”. Another resident case tracked said, “they help me and are very caring” The attitude of staff towards privacy and dignity allowed residents to feel valued. Specialised equipment such as communication equipment or pressure relieving devices were observed by the inspector and helped maintain the health and welfare of residents. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 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, and 15 Residents were satisfied the activities met their needs. Residents were allowed choice within the routines of the home. Contact with relatives and friends was open and unrestrictive. Meals provided were to the liking of residents and provided a well balanced diet. EVIDENCE: Four residents case tracked said, “I get up and go to bed when I like”, “I dress myself and can come and go as I like” and “I choose what times I get up and go to bed. I have total independence”. The information gained from residents about their routines demonstrated the home allowed choice in many aspects of life and allowed residents to retain some independence. One residents said, “my wife comes to visit me on Friday with my daughter – no problem visiting”. Other residents confirmed visiting was unrestricted and could be held in private. Visiting was promoted at the home for the benefit of residents and their families. Residents were happy with the activities and interests at the home. Comments were mainly positive. “I enjoy football, television, watching DVD’s and music. I most enjoy watching the world go by and doing my own thing”, “I don’t join in Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 13 the activities. I prefer to stay in my room and watch television. I would like to go out more” and “I have to remain in bed. Staff pop in to talk to me and I have my phone and television. residents spoken to were satisfied with the activities provided. Residents questioned were mainly satisfied with their meals. Comments from residents case tracked included, “the food is good and I can feed myself now”, “the food is very nice” and “food is OK”. Another resident however said, “I don’t like the food much and miss meals. I would rather eat things I buy such as crisps”. Four other residents said food was good. The inspector observed residents being fed in a discreet manner. Nutritional assessments were undertaken and special meals arranged as necessary. The meal taken by the inspector was hot, tasteful and nutritious. Meals were generally well received at the home and residents were given a good diet. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 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 and 18 Systems were in place to protect residents from abuse. The complaints procedure was available for residents to access and met current Commission for Social Care (CSCI) Guidelines. EVIDENCE: Resident’s were able to tell the inspector they felt able to complain if they wished. Three residents case tracked said they would complain to the manager. No complaints had been made to the service or the CSCI since the last inspection. Both staff members questioned during the inspection was aware of the complaints procedure. The open atmosphere and complaints procedure gave residents an opportunity to complain. Policies and procedures were available for staff to follow for abuse issues. The manager was not available on the day of the inspection. The responsible person was not aware of any local procedures and it was advised he checks with the manager when she returns from leave. Members of staff were aware of abuse issues and described their response to abuse to the inspector. From the information gained from staff and documentation examined, resident’s protection from abuse was safe-guarded. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 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 - 26 The home was warm, clean and comfortable. Furnishings and equipment was domestic in style and met residents needs and individual tastes. Toilets and bathrooms were of a type that met residents needs. Shared space was provided to give a variety of activities and uses for residents. Infection control and laundry was handled well at the home. EVIDENCE: The inspector conducted a tour of the home during the inspection process. All communal areas and most bedrooms were inspected. Residents said, “I have everything I need and have made this my own pad” and “I have a nice room and enjoy the view”. Other residents commented they liked their rooms and the communal space. Rooms were clean, tidy and contained sufficient equipment to provide residents with a stimulating environment. The laundry was well equipped to provide a good service to residents. The inspector spoke to the dedicated member of staff who worked in the laundry who said she was very satisfied with the new equipment provided by the new Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 16 owners. Policies and procedures were in place for the control of infection. Staff had undertaken courses on control of infection, which helped protect the health and welfare of residents. Toilets, bathrooms and communal space had suitable adaptations for the residents accommodated at the home. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 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 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) 27,28,29 and 30 The numbers and training of staff ensured resident’s needs were met. The recruitment practices at the home were good and protected the health and welfare of residents. Training, including NVQ training was provided for the benefit of staff and residents. EVIDENCE: Two staff files contained all necessary documentation. Recruitment procedures ensured a thorough check was made prior to employing any new staff to protect residents from possible abuse. Induction training was provided for new staff. Staff qualified to NVQ standard was above the 50 threshold. Two staff members questioned confirmed training had been undertaken. The training undertaken ensured staff had the knowledge to look after the resident group accommodated at the home. The inspector examined the staff rota and discussed staffing with the responsible person and was satisfied staff were employed at the home in sufficient numbers and skill to ensure residents needs were met. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 18 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) 32, 35 and 38 Residents benefited from the ethos, leadership and management approach of the home. The procedures for handling the financial affairs of residents were good. Quality assurance systems had not been developed to fully gain the views of residents, family, friends and stakeholders. Health and safety policies, procedures and gas and electrical equipment checks protected residents from harm. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 19 EVIDENCE: Comments received from residents informed the inspector the management of the home was appreciated. Residents were able to approach the management of the home for mutual benefit. The atmosphere was good. The inspector examined health and safety documents. Gas and electrical appliances and installation certificates were up to date. Mobility equipment was up to date. There was a health and safety statement and policies. Health and safety checks had been carried out. The attention to health and safety legislation protected the welfare of staff and residents. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 20 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 4 x x x x x 3 Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 21 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 Regulation none 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. Refer to Standard OP7 OP7 Good Practice Recommendations The registered persom should ensure the nurse manager carry out a quality audit on the plans of care. The registered person should ensure a residents wishes for death and dying be recorded. Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 1st Floor, Unit 1 Petre Road Clayton-Le-Moors, Accrington Lancashire. BB5 5JB 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 Abbeycroft Care and Nursing Home F57 F07 S56843 Abbeycroft V224494 July 07 08 2005 Stage 4.doc Version 1.30 Page 23 - 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!