Inspection on 19/09/08 for Abbeyfield Ilkley Society Limited

This inspection was carried out on 19th September 2008.

CSCI found this care home to be providing an Excellent service.

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 Ilkley Society Limited 20/09/07

Abbeyfield Ilkley Society Limited 12/12/06

Abbeyfield Ilkley Society Limited 09/02/06

Abbeyfield Ilkley Society Limited 12/08/05

Abbeyfield Ilkley Society Limited 25/08/04

Extracts from inspection reports are licensed from CQC, this page was updated on 16/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Abbeyfield Ilkley Society Limited 12 Riddings Road Ilkley West Yorkshire LS29 9BF     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Stephen Marsh     Date: 1 9 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Abbeyfield Ilkley Society Limited 12 Riddings Road Ilkley West Yorkshire LS29 9BF 01943886000 01943886030 viv.clarke@abbeyfieldilkley.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Vivienne Clarke Type of registration: Number of places registered: Abbeyfield Ilkley Society Limited care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 15 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places: 15 Date of last inspection Brief description of the care home Abbeyfield Care Home was first registered in May 2004 and is located within the Abbeyfield complex, which also provides a number of facilities for older people including sheltered housing and a day centre. The home is registered to care for fifteen people on both a long stay and respite care basis. The accommodation consists of spacious en-suite single bedrooms and well-appointed communal lounge and dining room areas. There is also a communal assisted bathroom and toilet facilities conveniently situated throughout the home. All the bedrooms and communal facilities Care Homes for Older People Page 4 of 27 Over 65 15 0 Brief description of the care home are on one floor of the building (first floor) and there is a passenger lift available. The home is located in Ilkley Town centre very close to the main shopping area and within easy walking distance of local churches and transport links. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means that people who use the service experience excellent quality outcomes. The purpose of this inspection was to access what progress had been made in meeting the requirements made in the last inspection report and the impact of any changes in the quality of life experienced by people living at the home. The methods we used included looking at records, watching staff at work, talking to people living at the home, talking to staff and reviewing the standard of accommodation. Care Homes for Older People Page 6 of 27 The manager had also completed an Annual Quality Assurance Assessment form (AQAA) and the information provided has been used as evidence in the body of the report. Survey questionnaires were left at the home so that people living there, staff and other healthcare professionals could share their views and opinions of the service with us. Three people living at the home, three staff and one healthcare professional returned the questionnaires and the information provided has been used as evidence in the body of the report. Feedback was given to the Registered Manager at the end of the visit. The current fees for people living at the home on a long stay basis range from 575:00 per week (minimum) to 635:00 per week (maximum). The current fee for respite care is 83:00 per night. What the care home does well: What has improved since the last inspection? What they could do better: The home must continue to review the policies, procedures and work practices in place to make sure they comply with present legislation and good practice guidelines. Care Homes for Older People Page 8 of 27 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission procedure is thorough and people will not be admitted unless staff are able to meet their needs. People are provided with good information about the service and are encouraged to visit or stay for a trial period before deciding if the home is right for them. Evidence: The information provided about the service is good and helps people to decide if the home can meet their needs. At the current time information is only available in English but the manager confirmed that it would be made available in different languages and formats on request. Records show that peoples needs are always assessed before they move in to Abbeyfield, either in their own home or temporary place of residence. Needs identified Care Homes for Older People Page 11 of 27 Evidence: during this pre-admission assessment visit form the basis for the initial care plan, which is completed on admission. People are also invited and encouraged to visit the home before admission to see the facilities at first hand, meet the staff and other people living there and stay for a meal if they wish to do so. On the day of the visit one person was visiting the home for a second time before making a decision about staying there for a period of respite care. People are also able to move in to the home on a trial period if they are still undecided. This is good practice and shows that people are supported through the admission process. The home tries not to admit people on an emergency basis however if this is unavoidable a full assessment of their needs is completed on the day of admission. People admitted for respite care are asked to complete a questionnaire about their experience of living at the home, which is used for quality assurance monitoring purposes. Feedback from people shows that they feel the information they received about the home before admission was very good and the initial visit was helpful and informative. One person recently admitted said that she had chosen the home because of its location and its reputation in the local community for providing good quality care and facilities. She confirmed that she had not been disappointed with her choice and would have no hesitation in recommending the home to anyone considering respite or longterm care. Feedback from people also clearly shows that they feel there is a good mix of skills within the staff team and staff had a good understanding of their needs. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care records provide accurate and up to date information, which means that people receive the level of care and support they require to meet their personal, health and social care needs. Evidence: A new care planning system has been implemented since the last inspection visit, which covers all aspects of peoples personal, health and social care needs. Care plans are drawn up with the involvement of the person using the service and/or their relatives and form the basis for the care to be provided. The three care plans reviewed were completed to a very good standard and gave clear guidance to staff on how peoples needs were to be met. Care plans are reviewed at least monthly or sooner if there are significant changes in the individuals circumstances. All care staff are involved in the care planning process, which is good practice and makes sure that the care plans are used as working documents. Care Homes for Older People Page 13 of 27 Evidence: Moving and handling and nutritional assessments are routinely carried out for all new admissions and risk assessments are completed where areas of potential risk to peoples general health and welfare are identified. All people living at the home are registered with a general practitioner and are supported in having access to the full range of NHS services. The input of other healthcare professionals is clearly recorded in the documentation available. This shows that staff are seeking advice if they have concerns about peoples health. We received a survey questionnaire from one healthcare professional, which indicated that the home usually provides a good standard of care and peoples needs are being met in line with their care plan. Feedback from people living at the home and their relatives shows that staff always treat people with respect and are kind and caring. Comments included the care is excellent and my mother cannot praise the home and staff enough and the staff go out of their way to make sure we are all well cared for -- I have no complaints at all. We reviewed the medication system and no concens were raised about the storage and recording of medication entering the home. This means that people can be confident that medication is being administered as prescribed. The manager confirmed that since the last inspection all senior staff have attended a medication course and wherever possible people are encouraged to manage their own medication within a risk management framework. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers people the opportunity to join in a range of social and leisure activities or pursue their own interests. Evidence: The manager confirmed that people are encouraged to make choices and decisions about how they spend their time whilst living at the home. Peoples personal interests are recorded in their care plan and wherever possible they are supported by staff to follow their own daily routines. The home employs a part time activities coordinator who is responsible for making sure people are offered a range of social and leisure activities. As part of her role the activity organiser introduces herself to all new admissions to the home and chats to them about what they would like to get out of their stay or any special interests they might have. A monthly events meeting is held to plan forthcoming events and a newsletter is published to keep people informed of what is happening both within the Abbeyfield complex and the wider community. Care Homes for Older People Page 15 of 27 Evidence: The home continues to have strong links with the local community especially church groups and regular services are held within the complex or people are supported in attending their chosen place of worship. People told us that they were very pleased with the level of activities and outings made available to them. Comments included we are very lucky there are lots of planned activities to keep us active and there is always something to do or somewhere to go, which is why I choose to live at Abbeyfield. People living at the home on a long stay basis do not have access to the day centre based within the complex, but do have access to the Wharfe Valley Community Day Centre, which is run by volunteers. All volunteers working within the Abbeyfield complex are recruited, trained and supervised by the Volunteer Organiser employed by the organisation. This means that people can be confident that they are suitable to work in the caring profession. People spoken with said that they were able to see visitors in their own rooms if they wished to do so and family and friends were always made to feel welcome and offered light refreshments when they visited. During the visit we had the opportunity to have lunch in the dining room and the meal served was good both in quality and presentation. Tables were nicely set, the meal was unhurried and the atmosphere was relaxed with lots of friendly banter between staff and individual people. People spoken with confirmed that the food is usually good and their preferences are taken in to account when menus are planned. Comments included there is always a good choice at meal time and I have no complaints at all about the standard of meals provided. People have input in to menu planning through the meetings held with the manager and staff at regular intervals throughout the year. Following a recent Food Hygiene Inspection by the Environmental Health Department Abbeyfield was awarded a four star rating (out of a possible five star). Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are now suitable systems in place to make sure that complaints are dealt with appropriately and people are protected from abuse. Evidence: Since the last inspection when concerns were raised about the complaints procedure, the procedure has been updated to include all relevant information and staff have received training on how to deal with complaints and given detailed guidance. People spoken with said that they would have no problems approaching the manager if they had any concerns about the standard of care being provided. Adult protection policies and procedures are in place and following concerns raised at the last inspection all staff have attended a in-house refresher course on the recognition and reporting of abuse. Staff are also to attend a further training course in the near future facilitated by an external trainer to make sure that they are fully aware of their roles and responsibilities in this area of their work. Feedback from staff indicates that they are aware of the homes policy on whistle blowing and knew what to do if they suspected someone was suffering from abuse or any practices at the home were not in the best interest of the people using the service. Care Homes for Older People Page 17 of 27 Evidence: Policies and procedures are in place to protect people from financial abuse, which preclude staff from being involved in the making of, or benefiting from peoples wills. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home continues to provide people with a very pleasant, safe and comfortable environment in which to live. Evidence: The home was opened and registered in May 2004 and is located within the Abbeyfield complex, which is close to Ilkley Town centre. The home is situated on the first floor of the complex and is reached by a passenger lift. The home provides well-planned spacious accommodation for fifteen people in single en-suite bedrooms. There is also a communal lounge and dining room which people can use if they wish. As well as the en-suite facilities in every room there are also communal assisted bathrooms and toilets located throughout the building The emergency call system covers both the bedroom accommodation and communal areas and people can call for assistance either by means of a pull cord or by using their own pendant alarm. Both the bedrooms and communal areas are decorated and furnished to a high standard and there is an ongoing programme of refurbishment and renewal. It is apparent when talking with the manager and staff that they take a great deal of pride Care Homes for Older People Page 19 of 27 Evidence: in providing people with quality accommodation and keeping the home clean and tidy. People living at the home said that they were very satisfied with the standard of accommodation and pleased that they had chosen to live at Abbeyfield. Comments included the home is well decorated, well furnished and spotlessly clean and first class accommodation. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are protected by the recruitment and selection procedures in place. Evidence: The staff rota showed that sufficient staff are employed on day and night duty to meet peoples needs. Some concerns were raised about staff working long hours however the manager is currently addressing this matter. Recruitment and selection procedures are in place, which include checking the Protection Of Vulnerable Adults (POVA) register and obtaining at least two written references and a Criminal Record Bureau (CRB) report before new staff are permanently employed. We looked at the employment files of two recently appointed staff. The files were in good order and we found that all the required checks had been completed before they had started work. The manager confirmed that all new staff receive induction training using the Skills for Care Common Induction Standards. These are nationally agreed induction standards Care Homes for Older People Page 21 of 27 Evidence: designed to help new staff get the skills and knowledge they need to care for people. Following induction training there is an expectation that care staff will study for a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. The manager confirmed that all staff have a training and development plan and steps are currently being taken to address some shortfalls in training, highlighted following a recent audit. Feedback from staff shows that they feel the level and quality of training provided is good and the manager is committed to making sure that people benefit from having a trained, skilled and experienced workforce caring for them. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and people who live and work there feel valued and enjoy a friendly and relaxed atmosphere. Evidence: Mrs Vivienne Clarke has been the registered manager of the home for about a year. Mrs Clarke has many years experience in the caring profession and is currently studying for the Registered Managers Award (RMA). During her time at the home Mrs Clarke has moved the service forward and addressed all the requirements made at the last inspection visit. Feedback from staff and people living at the home shows that the manager is approachable and operates an open door policy, which means that they are able to speak to her at any time if they have any concerns. Comments from people included the manager will always listen to you if you have a problem and the manager is always around if you need her and is very easy to talk to. Care Homes for Older People Page 23 of 27 Evidence: Staff confirmed that they have one-to-one supervision with the manager or deputy manager on a regular basis and felt generally well supported by the senior management team. Staff meetings are held to make sure there are clear channels of communication within the home. There is a range of quality assurance monitoring measures in place including sending out survey questionnaires to people using the service, their relatives and other healthcare professionals. The surveys give people the opportunity to express their views of the service and is an important part of the quality assurance monitoring process. The home holds small amounts of money in safekeeping for a number of people and financial transaction sheets are in place showing income, expenditure and a balance. Only senior staff deal with transactions and receipts are always obtained for purchases made on behalf of people. The financial transaction sheets are audited on a regular basis to make sure people are safeguarded from financial abuse. Information provided in the self-assessment form completed by the manager shows that policies and procedures are in place to make sure staff follow safe working practices and all equipment is serviced in line with manufacturers guidelines. people can therefore be sure that their health and safety is not being compromised. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!