Inspection on 20/06/05 for Abbeyfield Greensted

This inspection was carried out on 20th June 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.

Other inspections for this house

Abbeyfield Greensted 17/10/08

Abbeyfield Greensted 18/10/06

Abbeyfield Greensted 21/11/05

Abbeyfield Greensted 11/11/04

Abbeyfield Greensted 01/06/04

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 Greensted 16 The Orpines Wateringbury Maidstone Kent ME18 5BP Lead Inspector Fiona Holdaway Unannounced 20 June 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. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abbeyfield Greensted Address 16 The Orpines Wateringbury Maidstone Kent ME18 5BP 01622 813106 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) The Abbeyfield Medway Valley Society Mrs Lorraine Edith Cousins CRH Care Home 39 Category(ies) of Old age (39) registration, with number of places Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Rooms 37, 38 and 39 are not suitable for wheelchair users. Date of last inspection 11 November 2004 Brief Description of the Service: Greensted is situated in a quiet residential area within walking distance of a local shop and approximately 15 minutes drive to the town of Maidstone. The home has a large dining room and several sitting rooms throughout the home. One area of the home on the upper floor has been turned into a relaxation area complete with an automated massage chair and a music centre. The home has a well-maintained library with some large print books. There is also access to talking books and tapes. The gardens are attractive and well maintained with seating areas. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection was carried out by Regulation Inspector Fiona Holdaway. A tour of the home took place and the Inspector met with service users and staff, the Deputy Manager was present in the home throughout the Inspection, care records, policy documents and staff files were inspected. There have been no complaints received by CSCI about this home. What the service does well: What has improved since the last inspection? What they could do better: Service users would benefit from a more pleasing environment to eat in if improvements were made to the standard of décor in the dining room. A requirement is made in respect of this. Service users would benefit from more outings as some service users said that outings were very infrequent and they would like more opportunities to go out. Please contact the provider for advice of actions taken in response to this Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 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 Greensted H56-H06 S23944 Greensted V230208 200605 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) 3,4,5, Service users needs are fully assessed to ensure that the home can meet their needs. Prospective service users have the information they need to make a choice about living in the home and are encouraged to visit beforehand. EVIDENCE: Service users and their relatives are encouraged to visit the home before the person moves in and the first month of stay is a trial period for both parties. Service users said that they had been provided with sufficient information about the home. Service users needs are assessed prior to being offered a place at the home to ensure that the home is able to meet the needs of the individual. Assessments and care plans sampled were in good detail and provide staff with clear guidance to support service users with personal and health care needs. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 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) 7,8,10,11 Service users personal, social and health care is provided according to service users needs and wishes. Service users receive a high standard of personal care and are treated with respect and their privacy is maintained at all times. EVIDENCE: Service users have access to healthcare services such as the G.P., Dietician, District Nurse, Dentist and Optician, Chiropodist etc as required. Service users with Parkinsons Disease have access to a specialist Parkinsons Nurse. Care records included healthcare appointments and the outcomes and assessments of moving and handling, nutrition and risk of pressure sores. The staff on duty were observed indirectly throughout the inspection to interact in a positive and respectful manner with service users. Service users spoke highly of the care staff and their comments included: “they’re all good”, “if there is a problem they are good at listening” “ staff will always help you, you’ve only got to ask”. Service users confirmed that staff always knock on doors and support them with bathing and personal care in a manner that maintains their privacy and dignity. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 10 Service users wishes in the event of death have been established and respected. Service users care records contained information about individual’s wishes in the event of death. These had been recorded sensitively Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 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 and14 Service users have access to a range of activities in the home. They are encouraged to make choices about all aspects of their daily routine. Service users are supported to maintain contact with family, friends and the wider community. Service users would benefit from more outings. EVIDENCE: Service users said that there was plenty to do in the home if you wanted to, there was always something going on and things to look forward to. Activities include gardening, bingo, quizzes, craft making, music / sing alongs. In house entertainment is provided on a regular basis and this is much appreciated by service usersThe home had an ‘outings’ file with details of various places of interest and inviting service users to decide where they would like to go. However some service users said that outings were very infrequent and they would like more opportunities to go out. Some outings took place last year such as a trip to a pantomime at Christmas and a trip to an organic farm. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 12 The home is well supported by volunteers who run a trolley shop every week and bingo sessions. The home has links with the local church and a service is held in the home weekly. The home operates an open visiting policy and service users stated that friends and family can visit at any time. Minutes of a residents and relatives meeting were displayed on the notice board and evidenced that service users are consulted about all aspects of the home and their comments and suggestions are acted on. From the comments made by service users it was evident that they make decisions based on information and choice. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 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 The home has a clear complaints procedure and service users and relatives are aware of how to complain. EVIDENCE: The homes complaints record was viewed and evidenced that service users benefit from having any concerns or complaints they have listened to and responded to promptly. Service users spoken with were well aware of their right to complain and generally presented as very satisfied and happy with the service provided. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 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) 19,20,23,24,25,26 Service users live in a safe, reasonably well-maintained and clean environment. The standard of décor, furnishing and fittings are satisfactory providing a homely and pleasant living environment. However service users would benefit from a more pleasing environment to eat in if improvements were made to the standard of décor in the dining room. EVIDENCE: The home is accessible throughout, safe and generally well maintained. The home has ample communal space there are seven separate lounges that are all individually decorated and comfortably furnished. However, the dining room is in need of redecorating, the floor covering is worn and has some holes and a ceiling tile had come loose, skirting and architrave are damaged and tatty. Service users would benefit from this being improved. The dining room is also used for activities, functions and church services. Many of the bedrooms viewed had been recently redecorated and furnished. The gardens are attractive and well maintained with seating areas. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 15 One area of the home on the upper floor has been turned into a relaxation area complete with an automated massage chair and a music centre. This is of particular benefit to those service users with Parkinsons Disease. The home was clean throughout and has a separate sluice facility which is an improvement since the last inspection when it was situated in the laundry room. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 16 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) 27,30 The numbers of staff employed are sufficient to provide the level of care required. The service users benefit from a motivated and committed team of care staff. More than 50 of staff are working towards NVQ’s in care ensuring that the staff team have the knowledge and skills required. EVIDENCE: The deputy manager evidenced that there are sufficient numbers of staff at present to meet the needs of service users and there was consistent planning to cover any absences. It was evident from the comments made by staff that the morale of the team is high. Staff interaction with service users was excellent and members of staff demonstrated that they have the necessary skills and knowledge to meet individual needs of service users. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 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 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) 32,33,37 The atmosphere of the home is friendly and welcoming. The manager is open and approachable to service users and staff, she offers clear guidance and support to staff and runs the home in the best interests of service users. There is a high level of consultation with service users and their representatives. EVIDENCE: Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 18 Service users and staff stated that they would not have any difficulty in approaching the manager if they had any concerns or complaints. Staff spoke highly of the manager and it was evident from their comments that she communicates a clear sense of direction and leadership and is open and approachable to service users and staff. Service users meetings are every 3 months the minutes of the most recent meeting were on display on the notice board and evidenced that service users views are sought and acted upon. Abbeyfield operates an annual satisfaction survey for service users and their representatives. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 4 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 x COMPLAINTS AND PROTECTION 2 2 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x 3 3 x x x 3 x Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 20 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 OP 19 OP 20 Regulation 23 Requirement Fitness of Premises23 (2) (b) & (d) The home should be well decorated and maintained internally with furniture, fixings and fittings in good repair and suitable for purpose.This is required with regard to the dining room. Timescale for action Action Plan 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 OP13 Good Practice Recommendations Service users are provided with more opportunities to go out. Abbeyfield Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 Greensted H56-H06 S23944 Greensted V230208 200605 Stage 4.doc Version 1.30 Page 22 - 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. 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