Inspection on 23/08/06 for Abbeyfield Rogers House

This inspection was carried out on 23rd August 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 Rogers House 25/07/07

Abbeyfield Rogers House 03/01/06

Abbeyfield Rogers House 06/06/05

Abbeyfield Rogers House 13/12/04

Abbeyfield Rogers House 29/07/04

Abbeyfield Rogers House 29/03/04

Similar services:

Ridgemount

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

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

CARE HOMES FOR OLDER PEOPLE Abbeyfield Rogers House Drewery Drive Rainham Gillingham Kent ME8 0NX Lead Inspector Alison Spreadbridge Key Unannounced Inspection 23 August 2006 10:00 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 Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 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 Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeyfield Rogers House Address Drewery Drive Rainham Gillingham Kent ME8 0NX 01634 262266 01634 261374 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) The Abbeyfield Kent Society Lucy Josephine Dixon Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Care of one service user who is under 65 is restricted to one person whose date of birth is 21/11/40 Care of one service user with a diagnosis of dementia is restricted to one person whose date of birth is 18/08/1918. 3rd January 2006 Date of last inspection Brief Description of the Service: Rogers House is a modern purpose built home for the care of the elderly, it located in a residential area within easy walking distance of local shops. The home is currently registered for the care of 41 older people. Accommodation is in 37 single and two shared bedrooms, all of which have en-suite facilities or a dedicated toilet close to the room. All bedrooms are fitted with a call bell system and a telephone and TV point. There are 5 day rooms and a large conservatory opposite the main entrance. The home has 5 assisted bathrooms, assisted toilets and has an 8 person lift providing access to all 3 floors. The current fees for the home are £465.00 per week Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 15th August and commenced at 10.00am. During the inspection the manager, some staff, service users and relatives were spoken with. A tour of the premises was made and some documentation seen. This was a key inspection in accordance with the National Minimum Standards for Older People. What the service does well: What has improved since the last inspection? What they could do better: The decoration and carpets in a number of areas within the home are beginning to look tired and need updating/replacing. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 6 The daily record keeping is in need of review and while the service users are content with the care being provided it is difficult to evidence the facts through the home’s documentation. 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 Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 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 Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 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): 1,2,3,4,5,6, Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with the information they need to make an informed choice about moving into the home. EVIDENCE: The service users said they had been provided with the information they needed before moving into the home. The service users welcome pack was viewed during the inspection. Each service user is provided with a contract which outlines details of the service and the rights and responsibilities. Pre-admission assessments are carried out by the home’s manager or deputy manager, in either the service user’s own home or at hospital prior to admission. Relatives spoken with said that their relatives were asked to visit the home and stay for tea with the other service users prior to moving in. They had also been shown the proposed room they would occupy. Service users spoken with Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 9 said they had been made welcome and were happy with their rooms. They had been able to bring in small items of furniture and other personal items. The service users are able to move into the home on a 28-day trial period. The manager said that the home’s statement of purpose and the service users’ guide has been updated since the last inspection. The home does not provide intermediate care, but can offer two respite beds for short stays. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 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, 10,11 Quality of this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a comprehensive assessment and care planning system in place. However, some of the service users’ needs when reassessed in the care plans, are not being evidenced as implemented in the service users’ daily records. EVIDENCE: The home has reviewed its medication policies and staff said they have been made aware of the changes. The incoming and outgoing of medication is now being recorded and regularly monitored by either the manager or deputy manager. Two service users are part self-medicating and suitable guidelines are in place to support them. Service users spoken with said they are registered with the local doctor’s practice and the doctor calls whenever they have needed one. Service users said staff were very quick to call out the doctor or community nurse if they needed them. Some service users are able to attend their doctor’s surgery with the assistance of their relatives. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 11 Some of the service user’s individual care plans were seen during the inspection. It was noted that some areas of identified need could not be fully audited as the recordings in the daily logs and risk assessments had not picked up on the reviews highlighted in the service user’s care plans. The need to review the home’s current practices was discussed with the manager during the inspection. For those service users unable to access the community, an optician and dentist call into the home annually and at other times as and when required. Podiatry care is also available on a regular basis; the individual service users pay for this service. Service user’s wishes in respect to the care they receive at the time of their death is discussed and any wishes are entered on the service user’s care plan. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 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 Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users said they were able to make choices about their daily activities and their wishes to not join in with certain activities were respected. EVIDENCE: The service users’ activities programme is displayed on the service users’ notice board. The service user spoken with said they enjoyed the entertainment provided. On the day of the inspection some of the service users had gone out on a day trip to the seaside. There had been a number of special activity days which included strawberry teas in the garden which the residents had thoroughly enjoyed. The interaction between staff and service users was seen to be friendly and respectful. Service users said they would be happy to talk to any of the staff. The service users said that the staff always made their relatives welcome and this was confirmed by some of the relatives visiting the home at the time of the inspection. They said staff were always cheerful and polite and they were welcome to visit at any reasonable hour. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 13 Service users who were staying in the home for a short respite period were also very positive about the way they were treated by staff. They said staff respected their decision not to want to join in with an activity or if they wished to sit quietly in their rooms. One area where recording could be improved is around activities which are not being recorded in the service users’ daily records. To do so would give a much fuller picture of the service users’ daily life in the home. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 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, 17, 18 Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users said they felt able to raise any concerns with the manager or staff in the home. EVIDENCE: The manager has provided a copy of the local authority’s adult protection protocol for the staff working in the home to read. The manager said that adult protection aware training is being provided for the staff team. Staff spoken with said they were aware of the policy. On speaking with both service users and their families it was clear that they felt able to approach any member of staff if they had a concern around the care their relative was receiving in the home or any other complaints. The complaints book was seen and the responses made were recorded. The manager said she likes to respond to any concerns within five days and this was clearly evidenced by the responses on file. On some occasion the manager has responded verbally or by e-mail and these responses were not always being recorded, the need to ensure all responses were fully recorded was discussed with the manager. The home’s whistle blowing policy was not inspected on this occasion Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 15 Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 16 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): 19,20,21,22,23,24,25,26 Quality of this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home offers service users a pleasant home to live in, however the décor is beginning to show signs of wear and tear. EVIDENCE: The house was bright, clean and tidy. However the décor is showing signs of wear and is in need of refurbishment. Some of the carpets, especially in the corridors, are becoming trip hazards and should be replaced. Two of the service users asked the inspector to accompany them to their rooms as they wanted to show me how comfortable they were. All of the service users said how much they liked living in Rogers House. The service users spoken with said their laundry was always well done and ironed beautifully. They said they were asked to label their clothes when they moved into the home to help ensure all items are returned to the rightful person. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 17 The laundry is well run and has health and safety procedures in place to reduce risks of cross infection/contamination. The gardens are of a good size and the sensory garden provide nice sitting out areas for the service users. A number of the flag stones are uneven and they should be inspected as a number of service users have mobility problems which require them to use walking aids. At the time of the inspection work is being undertaken in the home to change some offices into living accommodation. This work should be completed by the end of September. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 18 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 Quality of this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from the support of a well trained staff team and the home’s management structure. EVIDENCE: When the current staff receive their certificates the majority of the staff team will have completed their NVQ 2 training or above. Staff spoken with said they felt they had benefited from the training they received and understood the needs of service users better. The staff receive a suitable induction which enables them to settle into the home and staff team as quickly as possible. The home has a sound recruitment policy in place. Ongoing training is provided for all staff. Some awareness training is taking place and there is now a need for all training to be competency based. This practice should be reviewed in light of recent changes to training requirements. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 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): 31,32,33,34,35,36,37,38 Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from a well managed home which is conducted using sound policies and procedures. EVIDENCE: The home’s manager has been in post for six months and has settled in well. The manager and deputy manager are respected by both staff and service users and they said they find them both very helpful. The service users and staff said the manger is very approachable and they feel able to speak to her at any time whatever their concern. Maintenance certificates were available for inspection. Fire systems are being regularly maintained and fire drills are being carried out. There is a need to ensure all staff receive mandatory training. A member of staff is now able to Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 20 train the other staff in fire awareness. A training diary is kept which outlined future training for the year. The home has the services of a handyman five days a week over 37 hours. The maintenance work in the home is being undertaken on a rotational basis. However the areas where refurbishment is currently required is not part of his work remit. The recording of any service users finances are being recorded and the homes policy has been reviewed since the last inspection. The small amount of service users monies held by the home is being regularly audited by the manager and deputy manager. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 3 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 3 18 3 2 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 22 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 OP19 Regulation 23 (2) (d) (5) Requirement The registered provider must ensure that the house and gardens remains safe from trip hazards and the carpets and the homes décor are maintained Timescale for action 30/11/06 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 OP8 Good Practice Recommendations There should be more detail recorded in the daily notes to give a true picture of what care the staff are providing and how independence is being encouraged etc. Abbeyfield Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone 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 Rogers House DS0000028736.V300598.R01.S.doc Version 5.2 Page 24 - 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. 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