Inspection on 26/01/06 for Abbeyfield

This inspection was carried out on 26th January 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

Abbeyfield 30/04/07

Abbeyfield 19/07/05

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 Inspection 26th January 2006 9:40 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 DS0000011074.V270816.R01.S.doc Version 5.0 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. DS0000011074.V270816.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Abbeyfield Address 11 Maitland Road Reading Berkshire RG1 6NL 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) 0118 957 2826 0118 959 4867 Abbeyfield Reading Society Limited Mrs Bernadette Yanquoi Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places DS0000011074.V270816.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2005 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. DS0000011074.V270816.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which took place over a 3 hour period during the course of a morning. Time was spent talking to 2 members of the management team and the administrator. The focus of the inspection was to evaluate standards not assessed at the last inspection. All standards assessed were found to be met with no recommendations or requirements being made. This home is competently managed and provides a high standard of care by a dedicated staff team. What the service does well: What has improved since the last inspection? Carpets have been replaced in the 1st floor and 2nd floor corridors and the homes office. The lift is currently being refurbished and a new fire panel has been installed. DS0000011074.V270816.R01.S.doc Version 5.0 Page 6 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. DS0000011074.V270816.R01.S.doc Version 5.0 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 DS0000011074.V270816.R01.S.doc Version 5.0 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): No standards under this heading were inspected on this occasion. EVIDENCE: DS0000011074.V270816.R01.S.doc Version 5.0 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 Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Evidence was provided by discussion with one of the Deputy Managers and perusal of records and storage arrangements. A Pharmacist offers advice on a regular basis and inspects the medication arrangements 3 monthly. This Pharmacist also provides training to senior care staff as and when required. All staff who administer medication have their competence assessed by one of the senior management team and the outcomes are recorded. There are comprehensive policies and procedures in place which guide staff and informs the practice in the home. Self-medicating is supported for those service users who want to and are assessed as capable. A separate storage cabinet is utilised for the storage of medication used by service users who self-medicate. DS0000011074.V270816.R01.S.doc Version 5.0 Page 10 DS0000011074.V270816.R01.S.doc Version 5.0 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): No standards under this heading were inspected on this occasion. EVIDENCE: DS0000011074.V270816.R01.S.doc Version 5.0 Page 12 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): 18 Service users are protected from abuse. EVIDENCE: Evidence was provided by talking to staff and from staff training records. Awareness of the potential for abuse is discussed on a regular basis. Training is provided as part of induction and NVQ training. There are policies and procedures in place to guide all staff when abuse is suspected and these fit neatly with the inter-agency policy on Protection of Vulnerable Adults. The home will consider cascading learning points to other staff which have been acquired following attendance at external training. DS0000011074.V270816.R01.S.doc Version 5.0 Page 13 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 Service users live in a safe, well-maintained environment. The homes is clean, pleasant and hygienic. EVIDENCE: Records confirmed that regular maintenance is carried out within the home. Refurbishment is part of an ongoing programme and it was noted that some carpets had been replaced since the last inspection. The lift was currently nearing completion of refurbishment and a new fire panel had been installed. Comprehensive risk assessments were in place which are regularly reviewed and are designed to identify maintenance issues at an early stage. DS0000011074.V270816.R01.S.doc Version 5.0 Page 14 This home has dedicated cleaning and laundry staff and throughout is clean, tidy and very hygienic. DS0000011074.V270816.R01.S.doc Version 5.0 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 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): 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. EVIDENCE: The staff team as a whole comprises of staff with varying degrees of experience. The manager is aware that maintaining a balanced staff team will benefit service users and the service provided. The manager has introduced a bank staff support system which enables both parties to assess suitability and has proved to be very successful in moving some bank staff onto permanent contracts. Safe practices are reinforced through induction and ongoing training. Senior staff are always on hand to guide staff when queries or issues occur. A range of files for the mostly recently employed staff were seen. All followed a consistent format and the use of recruitment checklists ensures that all required information is obtained. As already mentioned the use of bank staff DS0000011074.V270816.R01.S.doc Version 5.0 Page 16 enables the assessment of competence, reliability and commitment to be undertaken. Staff training is encouraged and supported by this home. The administrator maintains a log of all staff training and monitors when updates are required. The home has regular contact with local training agencies and Skills for Care which ensures that all training opportunities are taken up. DS0000011074.V270816.R01.S.doc Version 5.0 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, 35 & 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 her responsibilities fully. Service users’ financial interest are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager is competent and highly respected. She is currently undertaking the Registered Managers Award. There are two deputy managers and an administrator who support the manager and together they have complementary skills. Consolidation of this recently formed management team DS0000011074.V270816.R01.S.doc Version 5.0 Page 18 was in evidence and it is the intention of the manager to fully utilise the skills within this team. The arrangements for the management of personal allowances for service users was seen. The homes treasurer audits and monitors the system on a regular basis. The current system is transparent and information and records are shared with relevant parties. It is the policy of the organisation that no member of the homes staff can act as an appointee for a service user. In practice all service users have either family members, legal representatives or the local authority to act on their behalf in respect of their financial interests. The health and safety arrangements within the home are robust and are supported by a range of policies and procedures. All fire checks were seen to be up to date as were checks of hot water outlets. A legionellosis risk assessment was recently undertaken by an outside contractor and all the recommended action has been undertaken. A comprehensive risk assessment has been undertaken for all areas of the building. A note should be made when any risk assessments have been reviewed. DS0000011074.V270816.R01.S.doc Version 5.0 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 DS0000011074.V270816.R01.S.doc Version 5.0 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 DS0000011074.V270816.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks 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. 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