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Inspection on 06/06/05 for Abbeyfield Rogers House

Also see our care home review for Abbeyfield Rogers House for more information

This inspection was carried out on 6th 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.

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

The home is decorated and furnished to a high standard the living rooms and dining room are very spacious and the overall impression is homely, comfortable, clean, bright and airy. There are good care plans in place and detailed records kept to ensure the well being of the people living at the home. There is a high level of consultation with service users and their representatives.

What has improved since the last inspection?

The Inspectors saw that the medication in the home is administered according to the homes policies and procedures and is in line with good practice. This is an area that the home has improved in since the last inspection.

What the care home could do better:

There were no requirements or recommendations for improvements made following this inspection.

CARE HOMES FOR OLDER PEOPLE Abbeyfield Rogers House Drewery Drive Rainham Gillingham Kent ME8 0NX Lead Inspector Fiona Holdaway Unannounced 06 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 Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abbeyfield Rogers House Address Drewery Drive Rainham Gillingham Kent ME8 0NX 01634 366211 01634 261374 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 Tonia Jeanette Waghorn CRH Care Home 41 Category(ies) of Old age (41) registration, with number of places Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Care of one service user who is under 65 is restricted to one person whose date of birth is 21/11/40 Date of last inspection 13 December 2004 Brief Description of the Service: Rogers House is a modern purpose built home for the care of the elderly located in a residential area within easy walking distance of local shops. The home is currently registered for the care of 41 older people accommodated 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 also 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. Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 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 Inspectors Fiona Holdaway and Joanne Griffiths. A tour of the home took place and the Inspectors met with service users and staff, the 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: 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 H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 6 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 Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 7 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 an opportunity to visit beforehand. EVIDENCE: Rogers House is a modern purpose built home for the care of the elderly and is equipped with mobile hoists and specialist equipment where a need has been identified. 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. 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 and their relatives had visited the home and been provided with sufficient information to make the decision to move in. Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 8 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 and 10 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. The systems for medication administration are good with clear arrangements in place to ensure service users medication needs are met. EVIDENCE: Service users 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. Service users have access to healthcare services such as the G.P., Dietician, District Nurse, Dentist and Optician, Chiropodist etc as required. . Care records included healthcare appointments and the outcomes and assessments of moving and handling, nutrition and risk of pressure sores. Medication was seen kept securely in a dedicated room. A monitored dosage system is in place and the homes MAR (Medication Administration Record) sampled were properly recorded. Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 9 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 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 benefit from an enthusiastic cook keen to promote good nutrition. The meals in the home are good offering both choice and variety and cater for special dietary requirements. EVIDENCE: Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 10 A timetable of activities was on display in the home and service users confirmed that these take place as planned and are enjoyed by them. Many of the activities are run by volunteers and include games, bingo, crafts, music and movement, sing-a-longs and listening to a piano player. There are large print books, puzzles and videos available in all of the lounge areas. Minutes of a residents 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. The home operates an open visiting policy and service users stated that friends and family can visit at any time. The volunteers that support the home also run a trolley shop 2 days a week. The home has links with the local church and a service is held in the home weekly. Menu records were seen and these showed that a balanced and varied diet is offered. Service users are asked to make a choice from 2 main meals on offer. It was evident from discussion with the cook that service users are consulted about meals and he promotes cooking methods that enhance nutritional values of food. Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 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 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 Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 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) 19,20,21,22,23,24 Service users live in a safe, well-maintained and clean environment. The standard of décor, furnishing and fittings are high providing a homely and pleasant living environment. EVIDENCE: The home is a modern purpose built home that is decorated and maintained to a high standard and is comfortably and attractively furnished. The overall appearance was very welcoming and pleasant.. The home is accessible throughout. And has an 8 person lift to all 3 floors. There are 5 living rooms and also a large conservatory opposite the main entrance. Some lounges were without televisions for service users who preferred a quiet area. The gardens were attractive and well maintained there is lawn and a large paved area with raised flowerbeds. There was easy access to the gardens from the home. The home had CCTV at the entrance of the home and also a security controlled entrance. Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 13 All of the rooms had en-suite facilities and there were adequate number of bathrooms and toilets situated throughout the home. The bathrooms were of a high standard with modern assisted baths in place in spacious, clean and attractively decorated bathrooms. Bedrooms viewed were attractively decorated and comfortably furnished and were personalised with pictures and ornaments etc. Service users confirmed that they had been able to bring some items of their own furniture and were very satisfied with their rooms. All bedrooms are lockable and all residents have a lockable facility within their rooms. All bedrooms have a nurse call system. Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 14 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 The numbers of staff employed are sufficient to provide the level of care required. The home has a good recruitment procedure which supports and protects service users. EVIDENCE: Four staff files were seen including a new member of staffs’. Staff files included application forms, written references, proof of identity, and CRB (Criminal Record Bureau) checks as required to ensure sound recruitment practices that safeguard service users. Staff rotas evidenced that there are sufficient numbers of staff to meet the needs of service users and consistent planning to cover any absences. Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 15 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) 31,32,33, 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 Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 16 Service users and staff stated that they would not have any difficulty in approaching the manager if they had any concerns or complaints. 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. Service users commented that they welcomed these opportunities to have their say. Rogers House has a Volunteers Forum and a representative of the group attends the meetings. A suggestions box is operated in the home for any comments or suggestions on the service provided. Abbeyfield operates an annual satisfaction survey for service users and their representatives. Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 17 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 3 3 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 4 4 3 3 3 x x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 4 x x x x x Abbeyfield Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 18 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 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 Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 19 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 Rogers House H56-H06 S28736 Rogers House V230169 060605 Stage 4.doc Version 1.30 Page 20 - 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!