Inspection on 12/06/06 for Abbeyfield (Bognor Regis) Society Ltd

This inspection was carried out on 12th June 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 (Bognor Regis)... 26/01/06

Abbeyfield (Bognor Regis)... 07/09/05

Abbeyfield (Bognor Regis)... 09/12/04

Abbeyfield (Bognor Regis)... 28/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Abbeyfield (Bognor Regis) Society Ltd Abbeyfield 9-11 Richmond Avenue Bognor Regis West Sussex PO21 2YE Lead Inspector Mr E Mcleod Unannounced Inspection 12th June 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 Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.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. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Abbeyfield (Bognor Regis) Society Ltd Address Abbeyfield 9-11 Richmond Avenue Bognor Regis West Sussex PO21 2YE 01243 820842 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) Abbeyfield (Bognor Regis) Society Limited Mrs Christine Alexis Webster Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Abbeyfield is part of a row of converted houses in a quiet residential area of Bognor Regis. The home is close to the town centre, local shops and the seafront. Accommodation is provided for twelve service users in single rooms, all with en-suite toilet and some with bath and toilet. Service users are able to furnish their room to suit their taste. There is a large south-facing garden at the rear of the home laid to lawn, flowerbeds and patio. There is a large chalet in the garden that serves as an activities room. The home is joined by a corridor to the Sheltered Housing Scheme also run by Abbeyfield, but not required to be registered under the Commission for Social Care Inspection. Residents are able to take part and join in activities that take place there. The service is managed by Mrs Webster. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was arranged to update assessments made at the previous inspection. The inspector sampled policies, procedures and records, interviewed two members of staff, the registered manager, and five residents, and carried out a partial tour of the premises. A lunch was observed. The inspector would like to thank everyone who contributed to the inspection. What the service does well: What has improved since the last inspection? Some bedrooms have benefited from new carpeting. Some pot plants have been placed in the conservatory and a resident has chosen to take responsibility for looking after these. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 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. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.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 Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.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): 1, 3, 6 There are good arrangements in place for residents’ needs to be assessed before admission is agreed. Outcomes for residents were seen as good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: There is an introductory pack for residents and prospective residents which includes a pocket guide, an application form, the service user guide and statement of purpose. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 9 Three sets of pre admission assessments for new residents were seen, and these indicated that the resident’s needs had been fully assessed before admission. There is a guest room which is made available for prospective residents who wish to have a trial stay. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9, 10 Residents health and care needs are being met by the home. Residents are encouraged to remain as independent as possible. Outcomes for residents were seen as good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Three sets of care plans were seen which set out how a resident’s needs will be met in the home. Registered manager Mrs Webster said that she drafts the care plan in consultation with the resident. Care plans are being reviewed and updated as appropriate. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 11 Care records seen indicated that residents are being assisted to access a wide range of health services, and Mrs Webster attributed the longevity of residents in the home to the good atmosphere and care provided in the home. Good arrangements for the administration of medicines are in place, and for the locked storage of medicines. There is a contract with a local pharmacist to provide advice and visits to assess medicine administration systems in the home, and the report of such a visit carried out in November 2005 was seen. A number of residents have mobility, hearing or sight difficulties, and the home ensure that they have access to equipment they need. Staff also provided examples of how residents are encouraged to maintain their independence as far as possible. Examples of this given by staff included an observation that one resident “can’t make it to the bathroom, so get things ready for her, but she does for herself”, and that staff encourage residents to do buttons when they can, offering help if needed. Staff said they filled out menu choices with residents every week – some residents however fill out their own menu choices. One resident lays the tables in the dining room, and one resident has been arranging plants in the conservatory, and waters them as well. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14. 15 Residents have opportunities for social contact and activities, exercise choice. Good and varied meals are provided. Outcomes for residents were seen as good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Some activities, such as music and movement, are provided in the home, and some outings are arranged in conjunction with the residents who live in the adjacent sheltered accommodation house. There is a chalet in the garden used for arts and crafts. Some residents have chosen to take on tasks such as laying the table and watering the plants. Some residents walk into town or along the seafront, and others make use of their electric buggies to go out and about. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 13 Residents’ independence is being encouraged, and staff interviewed gave examples of this. Mrs Webster said that committee members attend residents’ meetings to hear their views. Mrs Webster said local produce is delivered twice per week. Menus were seen, and residents are being offered choice with meals, and fill out a form to say what their choice is. Two main choices were being offered at lunch on the day of the inspection. One diabetic is catered for, staff said she received desserts done with soya milk, and sugar free jellies. The lunch observed was unhurried and relaxed. Residents said the food was good. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 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 the following standard(s): 16, 18 Good arrangements are in place for the recording of complaints, and for staff to be trained in adult protection issues. Outcomes for residents were seen as good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: The complaints record was seen, but no complaints have been recorded since the previous inspection. Staff training certificates seen indicate that many staff have received training in adult protection. Mrs Webster said she was aware that local procedures in adult protection are changing, and that she has been advised of training in the new procedures being arranged by West Sussex County Council, and was planning for staff to attend this. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 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 the following standard(s): 19, 20, 21, 26 The home is in very good decorative order, is well furnished, and there are good communal facilities provided. Outcomes for residents were seen as good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: All bedrooms seen were in good decorative order, and had good quality furnishings and floorings. The main communal areas are the dining room, the sitting room and the conservatory. All were found to be comfortably furnished and homely, with good quality decoration and furniture. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 16 Electric buggies are stored in garages, and the home is free of clutter. There is a nice garden with chairs and tables with umbrellas. The premises and grounds are being maintained well. Arrangements for clinical waste storage seen. There is a chalet in garden used for arts and crafts. All parts of the home visited were clean and hygienic. There are good communal toilet and bathroom facilities provided. All bedrooms have an en suite toilet, and four bedroom have an en suite bath. There is a visitor’s room with en suite facilities. There is a kitchen for use by residents or visitors on the first floor. Mrs Webster said each resident’s laundry is washed separately and kept in bedrooms and not in the laundry room, which helped ensure laundry didn’t get mislaid. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 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 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 Staff employed are receiving training, supervision and support to enable them to do their job well. Staff feel they are well managed. “PoVA First” checks need to be carried out before staff employment commences. If a CRB disclosure has not been received back for a member of staff before employment is commenced, published guidelines for ensuring the safety of residents (such as the employee not being left alone with residents) must be followed. Outcomes for residents were assessed as good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Mrs Webster advised that 6 of the 14 care staff employed have achieved the National Vocational Qualification (NVQ) in care at level 2 or above. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 18 Two sets of recruitment records were seen for staff employed since the previous inspection, which included application forms, employment references, and CRB checks. It was noted that one member of staff has been employed without a CRB check being received, and one member of staff employed on the understanding that the CRB check from a previous job was transferable. The inspector advised that while a CRB disclosure is being awaited, the guidelines are that the employee must not be left alone with a vulnerable adult at any time. Mrs Webster said that all new staff were closely supervised for the first two weeks of their employment. Mrs Webster said that “PoVA First” checks were not carried out before staff were employed. One member of staff said that this was “the best home I’ve worked in”, and that the home is “very efficient on everything, like fire training, and everyone respects the manager”. Staff said the most recent staff meeting was 4 weeks ago, had been a useful meeting, and minutes of the meeting have been circulated. Staff said there were opportunities during the meeting to raise issues and discuss them, and that staff supervisions take place every 2 months. Staff are encouraged to participate in the running of the home, and one member of staff said “the manager gives us responsibility we can cope with, helps build up your confidence”. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 19 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, 33, 35, 38 The home is well managed and has a good atmosphere. An annual development plan and system for recording, reviewing and publishing views on the service should be developed. Outcomes for residents were seen as good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. EVIDENCE: Mrs Webster has advised the Commission of the most recent equipment and service checks carried out to ensure the safety of the premises and equipment. Staff interviewed said the home was well managed, and staff were given the opportunity to undertake responsibilities to assist them to develop their skills. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 20 The home was noted to have a good atmosphere, and residents and staff get along well. Committee members attend residents’ meetings to hear their views, and the approach of the staff team and managers indicates that the needs of residents are being put first. Mrs Webster said there was not an annual development plan for the home, and that no system is in place to record the views of residents, their friends and family, and others on the service provided. Mrs Webster said the home does not manage the finances of the residents accommodated. However, the home does hold some money for one resident received from the person’s power of attorney, which is used to pay for personal items and services such as chiropody visits. Receipts and records for these transactions were sampled, and were in order. Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 21 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 Standard No Score 16 3 17 X 18 3 3 3 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 1 X 3 3 X 3 Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 22 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 OP29 Regulation 19.4 Requirement “PoVA First” checks need to be carried out before staff employment commences. If a CRB disclosure has not been received back for a member of staff before employment is commenced, published guidelines for ensuring the safety of residents (such as the employee not being left alone with residents) must be followed. Timescale for action 30/06/06 2. OP33 24 3. OP33 24 A system for recording, reviewing and publishing views on the service should be developed. An annual development plan should be provided, based on a systematic cycle of planningaction-review, reflecting aims and outcomes for service users. 15/09/06 15/09/06 Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 23 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 Abbeyfield (Bognor Regis) Society Ltd DS0000014340.V293055.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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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