Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 07/09/05 for Abbeyfield (Bognor Regis) Society Ltd

Also see our care home review for Abbeyfield (Bognor Regis) Society Ltd for more information

This inspection was carried out on 7th September 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

According to the residents that talked to the inspector, the care given was excellent. "Always someone to help me" was said by several residents. The home has a team of staff who have worked at the home for sometime. They are keen to raise the levels of care they give and get good direction from the Manager. From observation and discussion, it was evident that staff and residents have built up a good relationship and that staff work hard to improve the quality of life of those in their care.

What has improved since the last inspection?

The home has extended the lounge area by adding on a very large conservatory. It is "beautifully furnished" and a valuable addition to the facilities the home has on offer.

What the care home could do better:

Whilst looking around the building the inspector noted a couple of rooms that could do with replacement carpets. The manager said that there were difficulties in clearing rooms when residents were living in them but would talk to the residents concerned. It is hoped that they will agree to the new carpets being fitted.

CARE HOMES FOR OLDER PEOPLE Abbeyfield (Bognor Regis) Society Ltd Abbeyfield 9-11 Richmond Avenue Bognor Regis, West Sussex PO21 2YE Lead Inspector Mr P Barker Unannounced Wednesday, 7 September 2005 V246432 th 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 (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Abbeyfield (Bognor Regis) Society Ltd Address Abbeyfield, 9-11 Richmond Avenue, Bognor Regis, West Sussex, PO21 2YE 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) Category(ies) of registration, with number of places 01243 820842 Abbeyfield (Bognor Regis) Society Limited Mrs Christine Alexis Webster Care Home (CRH) Old age, not falling within any other category (OP) 12 places (Both) Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th December 2004 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. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place between 10-30am and 130pm. The majority of the residents were either in the lounge, the garden or in their own rooms. Abbeyfield has performed well over the past years and at the last inspection no requirements were made. During the course of this inspection the inspector spoke to residents, staff and the Registered Manager. Records and Care Plans were looked at and a tour of the home was conducted. At the time of the inspection there were ten residents living in the home and two vacancies. Prospective residents were due to be assessed during the week. All the residents that were spoken to were very positive about the care they were getting at the home. They said that it was “a lovely place” and that “the staff are all so kind”. One resident even said, “It couldn’t be any better.” This was the general opinion from those residents who spoke to the inspector. All records were found to be in order and up to date. The Care Plans were extremely well written and contained all of the information needed to look after the residents. They were reviewed regularly. Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were on training. The building was warm, clean and welcoming. There were two care staff on duty with one domestic, a cook, a handyman and the administrator. The manager was also on duty. At night there was one staff awake on duty with another sleeping in on call. The rotas showed this to be the case. The home met all the requirements made by Environmental Health and the Fire Department and was considered a safe environment. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 6 What the service does well: 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. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 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 (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 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) 1, 3 Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before placing. EVIDENCE: Each resident is given a contract when he/she enters the home. Most of the residents had family or friends who were able to act upon their behalf. The manager assesses all residents before they join the home either in their own home or in hospital. These completed assessments are kept in the Care Plan. The manager told the inspector about two assessments she was planning to do. Both prospective residents were being invited to the home to have a look around before any decision would be made. The home does not take anyone in for intermediate care. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 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, 9, 10 The resident’s health, personal and social care needs are well met through training and supervision of the staff. EVIDENCE: Care Plans were well written and contained all the information necessary to look after the residents. They were updated regularly and reviewed at least once a month. The inspector looked at the Care plans of some of the residents he had spoken with and felt that the care given was accurately recorded. District nurses visit the home when requested and records are kept of all such visits. Medication was stored safely and records were well kept in regard to the administering and disposing of them. The inspector was present when a GP visited the home following concerns about a resident. When looking around the home the inspector noticed staff knocking before entering rooms. Residents were called by their chosen name; others preferred to be addressed as Mrs. The inspector spoke to residents in their rooms and privacy was observed. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 10 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 Residents say that they are happy with their lifestyle, are able to keep in contact with their family and friends and able to have control over their daily tasks. Good home cooked food is provided. EVIDENCE: Although the home does provide activities for their residents very few seem to take advantage. One of the most popular activities is the weekly music and movement session provided by an outside agency. Another specialist visits monthly to run a Craft session. The manager is hoping to encourage a few people to play board games by setting up tables in the new conservatory for them. A recent trip out to a local windmill was only taken up by two residents! There is a regular church service held in the home once a month. One resident told the inspector that she liked to stay in her room “and listen to my talking books”. Food is always an issue in residential homes. One resident said that the bread was too thick to eat whilst another wanted thicker slices. The majority enjoyed the food and since the changes in the kitchen, which is shared with the Sheltered Accommodation, the standard of food is very high. Families and friends are encouraged to visit at any time and several residents enjoy a trip out with their families. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 11 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, 17, 18 Any complaint is taken seriously and staff and residents know how to complain. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing Policy is in evidence. EVIDENCE: All staff have attended the Adult Protection Training and the procedures are in the office. There have been no complaints made about the home to the CSCI. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 12 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 is well maintained, safe and clean with no nasty smells. EVIDENCE: The home is well kept and is clean and tidy. The inspector observed the cleaner doing her rounds and every room was left clean and tidy. The inspector discussed with the manager the carpets in some of the rooms, which he felt were soon to be in need of replacement. The manager would speak to the residents about them. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 13 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, 29, 30 There is usually sufficient staff employed to ensure that residents’ basic needs are met. The home has a sound recruitment policy and all checks are made. There has been considerable input into staff training. EVIDENCE: All staff have undergone Criminal Records Bureau (CRB) checks and copies that these were satisfactory were kept in the safe. Prospective staff are invited to complete an application form and attend an interview. A member of staff confirmed this to be the case. The file showed that two references were obtained for her. Staff training had been undertaken in all areas and the evidence showed that all staff were offered training relevant to their work. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 14 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, 35, 38 It is apparent that the needs of the residents are paramount and that things happen for their benefit. The home has no dealings with any personal finances preferring to leave that to families or other professionals. EVIDENCE: The home was constantly updating their practices to ensure that residents received the best care that they could. The home does not have any dealings with any money belonging to residents. Fire and Environmental Health Requirements had all been met and all equipment is regularly serviced. Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 15 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 3 x 3 x x x 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x 3 x 3 x x 3 Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 16 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. 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 (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Abbeyfield (Bognor Regis) Society Ltd H60 H11 S14340 Abbeyfield (BR) Society Ltd V246432 070905 Stage 4.doc Version 1.40 Page 18 - 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!