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Inspection on 23/02/06 for Abbeyfield St George`s House

Also see our care home review for Abbeyfield St George`s House for more information

This inspection was carried out on 23rd February 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.

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

A dedicated, competent, and qualified team of staff cares for residents and are available in sufficient numbers to provide the personal care appropriate to assessed needs. Residents spoken with confirmed that they are well looked after, and a visiting community nurse commented that Abbeyfield St Georges `was the best`. Residents spoken during the home`s last inspection remembered the visit and confirmed that things were still as good, and the staff are lovely.

What has improved since the last inspection?

The completion of the new medical room gives staff and visiting health professionals a better area in which to work and store supplies and equipment. Residents now benefit from a new hairdressing salon. Record keeping suggested at the home`s last inspection has been implemented and allows staff more time to concentrate on other duties.

What the care home could do better:

From discussions with all staff there was a consensus of opinion that repairs were not being carried out and there was always a delay in maintenance staff commencing work that had been reported. This has resulted in requirements being issued to a good care service that have little control on external issues.

CARE HOMES FOR OLDER PEOPLE Abbeyfield St George`s House Park Terrace Westcliff On Sea Essex SS0 7PH Lead Inspector Ray Burwood Unannounced Inspection 23rd February 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 St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 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 St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Abbeyfield St George`s House Address Park Terrace Westcliff On Sea Essex SS0 7PH 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) 01702 331512 01702 342893 The Abbeyfield Southend Society Limited Mrs Patricia Anne Linsell Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th August 2005 Brief Description of the Service: Abbeyfield St George’s care home provides care for twenty-six older people who do not fall within any other registration category. The home is decorated, furnished and maintained to a high standard. All personal accommodation is offered on a single occupancy basis. Twenty-four bedrooms have en-suite facilities. Each room has access to telephone and television points. The gardens are well maintained and attractive. There is parking available. The home is situated in close proximity to Southend-on-Sea town centre, local community amenities and facilities. There is close access to local buses and the mainline train station to London. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the 23rd February 2006 with the assistance of the Senior Carer on duty, residents and staff. The registered manager was off duty on the day of the inspection. The inspection took place between the hours of 10.30an and 1.30pm. Feedback was provided to the registered manager following the completion of the inspection. A total of eleven standards were inspected with nine being met, the two requirements relates to the maintenance of the premises. Standard 31, although not met, should not automatically lead to an inspection requirement because the outcome for residents are met. Residents and staff spoken with agreed that the home was well run and managed to a high standard within the home. External administration of the service had deteriorated through lack of response to maintenance issues reported by staff. What the service does well: What has improved since the last inspection? The completion of the new medical room gives staff and visiting health professionals a better area in which to work and store supplies and equipment. Residents now benefit from a new hairdressing salon. Record keeping suggested at the home’s last inspection has been implemented and allows staff more time to concentrate on other duties. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 6 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 St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 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 St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 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): EVIDENCE: Abbeyfield-St.Georges House do not offer intermediate care. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 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 the following standard(s): 9 and 10. The home’s medication procedures ensured the protection and wellbeing of service users. Personal support in this home is offered in such a way as to promote and protect residents’ privacy, dignity, and independence. EVIDENCE: The home’s medication policies and procedures were inspected and found to be well maintained. Staff who administer medication are all senior carers, and have undertaken the appropriate training, both in house and externally. One senior carer was booked onto a new medication course with ‘Boots’. Records examined regarding the receipt, administration and disposal were found to be correct. Medication returns had been signed by the pharmacist. One resident was taking a controlled drug, Morphine Sulphate (MST) with the records and storage of controlled drugs in place. Some residents were responsible for their own medication with risk assessments in place and residents signatures recorded in a book. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 10 Residents spoken with confirmed that staff respects their privacy and their care is provided in a sensitive manner. A visiting district nurse confirmed that the standard of support and care afforded to residents was ‘the best’. Residents have access to a telephone in the home or if they wish to have their own, telephone points are fitted in their rooms, all bedrooms are single. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 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 the following standard(s): 13, 14 and 15. Residents are supported by the home in exercising choice and control over their lives through contact with the community and visitors to the home. The meals prepared are good, offering both choice and variety. The special dietary needs of residents are catered for on an individual basis. EVIDENCE: Visitors are made welcome at the home and residents are able to receive visitors in private. There is an open visiting policy in place and the home maintains links with families and friends. Service users are provided with a range of social and leisure activities and there are links with the local community. Residents’ who have the ability, manage some part of their financial affairs, mainly their daily allowances. The home manages the daily allowances of those residents’ who choose not to. Records and receipts were examined and found to be correct. The home’s cook on duty during the inspection provided the evidence in relation to menus, food storage and checks carried out on kitchen equipment. Residents spoken with were positive about the selection and alternatives on offer. The lunch time period was observed to be well managed by care and Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 12 catering staff, with residents provided with freshly served hot food immediately they sat down. Special diets were catered for and blended meals prepared individually. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 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 the following standard(s): 18. Staff have a good knowledge and understanding of Adult Protection issues that helps protect residents from abuse. EVIDENCE: The home’s Adult Protection policies and procedures, including Whistle Blowing were in place for staff guidance. The home has a copy of the Southend-onSea’s policy on the Protection of Vulnerable Adults and all staff have received the appropriate training in this area. Staff who have been spoken with over the last two visits continue to evidence a good understanding of how to protect and prevent abuse situations. There are no current adult protection alerts relating to this home. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 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 the following standard(s): 19 and 22. The standard of the environment within this home is good providing residents with an attractive and homely place to live, however, the health and safety of staff and visitors using the car park could be put at risk through a lack of maintenance. Also, call systems should be extended to areas such as the upstairs lounge and hairdressing salon. EVIDENCE: The location and layout of the home is suitable for its stated purpose and is well maintained. Renewal, decoration and the refurbishment of the home are carried out periodically in line with agreed budgets. The grounds, particularly the care park, was not condusive to the overall standard of the home, because of old beds stored where car parking is set aside. From discussions with the manager and staff, this has not been addressed as quickly as it should have been. Further incidents of work that needed to be carried out regarding fire doors had been reported and not addressed within a reasonable time scale. This fault has now been rectified. The manager confirmed that these issues would be discussed at her next meeting with the Chairman of the Executive Committee. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 15 The home provides an alarm system but this does not extend to a new area, the hairdressing salon, and the lounge upstairs. This has been reported to the maintenance administration team to address the problem. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 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 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): 30. The home provides experienced and qualified staff to meet the needs of residents. EVIDENCE: Staff spoken with confirmed that all staff receive induction training and also receive a minimum of three paid days training per year. Mandatory and specialist training has been completed by staff and include: • • • • Health and Safety. Administration of Medication (Senior Staff). First Aid. NVQ (most of the staff have completed level 2, others in the process of undertaking the training). Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 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 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 and 35. The management of the home is good with records well managed. EVIDENCE: The manager is a qualified nurse (SRN), experienced and competent in working with elderly people. She is a NVQ Assessor and has decided not to continue with the NVQ Level 4 training and qualification, due to nearing retirement. Staff spoken with said the manager was supportive and had the management skills to ensure the smooth running of the service. The manager is accountable to the Executive Committee and there is a yearly budget and systems in place to ensure the homes viability. Residents have their family or sponsor to take account of their finances with the manager making arrangements for personal allowances. Records were seen to be kept up to date. Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 18 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X 2 X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 X X X Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 19 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 OP19OP19 Regulation 23 (o) Requirement The registered person must ensure that external grounds, particularly the car park, are suitable for use by staff & visitors. The registered person must ensure that all rooms have a call alarm system in place. Timescale for action 30/04/06 2 OP22OP22 23 (2)(c) 31/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Abbeyfield St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 St George`s House DS0000015412.V280318.R01.S.doc Version 5.1 Page 21 - 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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