Inspection on 19/07/05 for Abbeyfield

This inspection was carried out on 19th 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

Abbeyfield 30/04/07

Abbeyfield 26/01/06

Abbeyfield 08/02/05

Abbeyfield 14/09/04

Abbeyfield 04/03/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE ABBEYFIELD 11 Maitland Road Reading Berkshire RG1 6NL Lead Inspector Sally Newman Unannounced 19 July 2005 @ 10:30 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. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abbeyfield Address 11 Maitland Road Reading Berkshire RG1 6NL 0118 957 2826 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) Abbeyfield Reading Society Ltd Mrs Bernadette Yanquoi Care Home 28 Category(ies) of Older Person OP registration, with number of places ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24/03/05 Brief Description of the Service: Abbeyfield House provides care and accommodation to residents whose needs are associated with old age. The home is run by a voluntary organisation the Abbeyfield (Reading) Society, through a locally run committee. The Society is a member of the National Abbeyfield Society who provide co-ordination and back-up services. The Abbeyfield Society is a Christian based organisation.The home was opened in 1996 and purpose built. It is situated one mile from Reading town centre. There is a small public park at the rear of the garden. An Anglican church is opposite the house. There are 28 single rooms with TV and telephone point (if required). Basic furnishings are provided although residents are encouraged to bring some pieces of their own. All bedrooms have ensuite facilities In addition to the main lounge, there is a quiet lounge and a dining room. There is also a conservatory on the ground floor that leads out to a landscaped garden. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which was conducted over the course of a lunch time period. 10 service users were spoken to of which 4 were seen in private. Various staff members were spoken to and a newly appointed Assistant Deputy Manager was seen in private. Consultation with the management team occurred throughout the course of the inspection and feed back was provided to the whole management team. A range of records was seen. The outcome of the inspection was very positive and confirmation that the home provides a high standard of care was in evidence. What the service does well: What has improved since the last inspection? Overall staffing numbers have improved. A strengthening of the management team as a result of an internal promotion. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 6 The kitchen has been refurbished and the garden has been enhanced with various features. 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. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 The needs of prospective service users are thoroughly assessed. Standard 6 is not relevant to his home. EVIDENCE: There was evidence from care plans that the needs of prospective service users are thoroughly assessed prior to a place being offered. A minimum of one visit to the referred service user is undertaken by home staff. However, the recently introduced documentation used to capture referral information is not always consistently completed and dated. Staff undertaking assessments need to be familiar with the required documentation. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10 Care plans contained details of the health, personal and social care needs of service users. The health care needs of service users are fully met. Service users are treated with respect. EVIDENCE: Care plans contain comprehensive information regarding all aspects of service users needs. A new care plan format is in the process of being introduced. The staff responsible for overseeing introduction of this new format had experienced some difficulties with adapting and updating the existing information held on service users. The management team were confident that the transfer of relevant information would be effective once achieved. Considerable evidence was taken from talking to service users which indicated that any health care needs are addressed quickly and efficiently. Several examples were provided by service users where health care professionals had been consulted by home staff when needs had been identified. All service ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 10 users provided evidence that they are treated with respect and their dignity is upheld by all staff. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 & 15 Service users are supported to have a lifestyle in the home which matches their expectations. Service users are encouraged and enabled to maintain contact with relatives and friends. Service users are enabled where required to have choice and control over their lives. The food provided in this home is wholesome and provides a balanced diet. EVIDENCE: As part of the assessment process the preferences, likes and dislikes of service users is obtained. This information feeds into the care plan and past interests are encouraged and enabled where possible. The activities provided are varied and recent examples include a bazaar, garden party in Goring, pub visits and a riverboat trip. Service users choose whether to participate and where service users do not wish to be included these decisions are respected. Service users are encouraged to maintain contact with family, friends and representatives. Many service users maintain their own land telephone line in their rooms. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 12 There is an active residents committee which feeds into the Management Committee responsible for the running of the home. Committee members represent the views of all service users and obtain these views by regularly holding residents meetings. These meetings are held twice yearly and minutes are provided in large print for service users. This is considered as good practice. Evidence of the quality of food provided in the home was obtained primarily by talking to residents. The food overall was praised and was felt to be a particular strength of the home. Appreciation was expressed at the flexible approach to individual preferences. Kitchen staff were spoken to briefly by the inspector. They were happy with the results of the kitchen refurbishment, which had made the environment more comfortable and efficient to work in. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 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 standard(s) 16 Service users know that their complaints will be taken seriously and will be acted upon without delay. EVIDENCE: It was noted that a new complaints log had been introduced since the last inspection. The log was stored in the reception area to allow easier access for staff. It also now contained clear instructions for completion to guide staff appropriately. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 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 standard(s) No standards under this heading were inspected. EVIDENCE: ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 15 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) No standards were inspected under this heading. EVIDENCE: ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 This home is undoubtedly run in the best interests of service users. EVIDENCE: This home has developed a quality assurance system which captures the views of service users, their families and other visitors to the home. A relatives and friends forum meeting is held on an annual basis. So far three such meetings have been held. Prior to the meetings questionnaires are distributed to all service users, friends and relatives. This provides an opportunity for those individuals unable to attend the meeting to give comments and feedback. It also enables a planned agenda to be drawn up. There was evidence that these meetings are well attended and some excellent and relevant suggestions have been made and in turn have been implemented by the management team. This work is to be commended. ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x 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 Standard No 16 17 18 Score 3 x x x x 4 x x x x x ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 18 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 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. Refer to Standard Good Practice Recommendations ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading RG7 4SA 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 ABBEYFIELD H52-H01 11074 Abbeyfield V234219 190705 Stage 4.doc Version 1.30 Page 20 - 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!