Inspection on 02/08/06 for Abbeyfield St Martins

This inspection was carried out on 2nd 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 St Martins 02/11/09

Abbeyfield St Martins 30/07/07

Abbeyfield St Martins 12/12/05

Abbeyfield St Martins 27/06/05

Abbeyfield St Martins 24/11/04

Abbeyfield St Martins 13/07/04

Abbeyfield St Martins 06/01/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Abbeyfield St Martins St Martins Martin Square Larkfield Aylesford Kent ME20 6QJ Lead Inspector Alison Spreadbridge Unannounced Inspection 2nd 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 St Martins DS0000024021.V300692.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 St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeyfield St Martins Address St Martins Martin Square Larkfield Aylesford Kent ME20 6QJ 01732 842628 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 Mrs Janet Moulton Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2005 Brief Description of the Service: St Martins is a purpose built dwelling owned by the Abbeyfield Medway Valley Society and registered for the care of forty-one older people who do not require nursing care. The home is situated in the centre of Larkfield with shops and other facilities in the immediate vicinity. Accommodation consists of twentyone single bedrooms and five shared rooms. Only three of the single rooms have en-suite facilities but the home has adequate toilets and bathrooms. There are four separate day rooms and a large dining room. There is also a day care centre within the home. There is adequate parking either in the grounds of the home or in the public car park opposite the home. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was made to the home on the 2nd August 2006. The inspector was in the home from 10.00 to 1.45 during that time the inspector met with the manager, some service users, relatives and staff, The inspector took time to read some of the home’s policies and service users’ care plans. A tour if the premises was made. The current fees are £348 – £420 per week. What the service does well: What has improved since the last inspection? The service users guide and the home’s statement of purpose have been reviewed. Some of the bedrooms have been re-carpeted and the manager said there are plans to do more refurbishments to the home. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 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 Martins DS0000024021.V300692.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 St Martins DS0000024021.V300692.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 encouraged to visit the home prior to moving in and are provided with the information they need to make an informed choice. EVIDENCE: Prospective service users are encouraged to visit the home for the day and see the room they would be offered before deciding to take up residency. All of the service users have a contract and are provided with a copy of the home’s service user guide. The home’s statement of purpose and service user guide have been updated since the last inspection. A sheet with frequently asked questions has been produced to assist new service users with possible questions they might have after visiting the home. All service users have their needs assessed by the manager or assistant manager prior to moving into the home; the care plan is then completed on admission. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 9 The home does not provide intermediate care. Abbeyfield St Martins DS0000024021.V300692.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, 10, Quality of this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users’ health and personal care needs are maintained, however the home’s record keeping is in need of review. EVIDENCE: Service users are registered with the local G.P. and dental surgery which are adjacent to the home. The service users are able to choose whether to visit the local opticians or to have a annual home visit. The service users’ health needs are assessed and regularly reviewed. A number of service users are self-medicating and where required service users are provided with a small lockable fridges in their rooms to store their medication. The home uses the blister pack monitored dosage system which is supplied by the local pharmacist. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 11 The service users spoken with said that the staff were very helpful and they were treated with respect at all times. They felt their rights were upheld and respected by staff. It was noted during the inspection that the assessed needs of service users and the risk assessments are not being reflected in the daily records. Where service users have seen the doctor and other issues have arisen they are not always mentioned in the daily logs. This matter was raised with the manager during the inspection who said she would review the system of recording information. Abbeyfield St Martins DS0000024021.V300692.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 have a choice in the food they receive and are encouraged to maintain links with their families. EVIDENCE: The service users spoken with said they enjoyed the meals they received. The service users are asked by staff to choose their meals for the day after breakfast. Service users said the food in the home was very good and the portions were adequate; they particular enjoyed the home made cakes when they had them. Snacks in the evening are available if service users request them. They service users said they had recently had a strawberry tea and sometimes they had a fish and chip supper from the local chip shop. The service users are encouraged to maintain their family links. A relative was visiting during the inspection who said they are always made welcome and invited to join his relative for a cup of tea. A small quiet area is available for people to use if they prefer not to use their rooms. Tea making facilities can be made available on request. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 13 The home is within easy walking distance of the shops and a number of service users said they like to walk around the shopping precinct close to the house. The day centre works two days a week and service users can join in as space allows. The service users were seen to be making good use of the home’s day centre, they were playing cards, making craft items and joining in with music and movement activities. The home’s activities co-ordinator works from Monday to Friday each week. Abbeyfield St Martins DS0000024021.V300692.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. The home has policies and procedures in place to protect the service users. EVIDENCE: The complaints procedure was looked at during the inspection. Complaints received by the manager were responded to quickly and thoroughly. The home’s policy states that complaints must be responded to within seven days the average achieved by the home was a four-day response. The service users’ legal rights are upheld. Each service user is provided with a contract this includes social service’s clients. The home’s policies and procedures are in place to ensure service users’ rights are upheld. The manager said that all staff receive training in the home’s policies and are expected to adhere to them. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. The service users spoken with were pleased with their rooms and the general accommodation in the home. EVIDENCE: Not all of the home was inspected on this occasion. However the lounges, dining room and some of the bedrooms were visited and found to be comfortably furnished. A maintenance person is on site form Monday to Friday and attends to the inhouse decorating and the gardens. The manager said they have a rolling maintenance programme to ensure rooms are decorated as required. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 16 One service user wanted to show the inspector their room which they said they really liked. It was a decorated to a nice colour and was comfortably furnished. The bathrooms and toilets seen were clean and tidy. There were no unpleasant odours in the home. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 17 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 excellent. This judgement has been made using available evidence including a visit to this service. Staff are receiving training and supervision to ensure service users receive a quality service. EVIDENCE: The manager said that 95 of the home’s staff have achieved NVQ level 2 or above. The manager has achieved her RMA and the assistant manager is currently taking her NVQ level 4 in Care. Senior staff who are responsible for assisting service users with the administration of their medication have all received training to do so. Staff all receive ongoing mandatory training in fire safety, health and safety, and food hygiene. Senior staff responsible for the shift have all received the four day first aid training. Staff are receiving regular supervision Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 18 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): 31,32.33,36,37 Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being managed in the best interest of service users some work around record keeping is in need of review. EVIDENCE: The home is well managed on a day-to-day basis between the home’s manager and assistant manager. They are assisted by the home’s administrator and together with all the staff are committed to the service users and the work they do. The service users said they were very pleased with the attitude of the staff and management of the home. They said they felt the staff were very approachable and would be able to voice their concerns. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 19 The manager also supports other managers in other Abbeyfield homes. The home has a good working relationship with the other professionals that visit the home. The service users’ finances were not inspected on this occasion however the administrator said that they would hold a small amount of money for service users if requested. The daily records seen do not fully evidence the care provided to service users and how they spend their days. It is not possible to evidence that the assessments in the service users’ care plans are being fully implemented and that the risk assessments reflect the service users’ assessed needs. These should be reviewed. Resident’s meeting are held every two months to ascertain the views of the service users. Staff meetings are held quarterly to ensure staff views are heard. The manager said there are plans to re-carpet the corridors as part of the home’s ongoing maintenance programme. Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 20 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 2 8 3 9 X 10 3 11 X 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 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 2 X Abbeyfield St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 21 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. 2. Standard OP7 OP37 Regulation 15 35 Requirement To ensure the service user care plans and daily records reflect the care given to service users The registered provider will ensure that the service users quality of the care is recorded and reviewed. Timescale for action 30/09/06 30/09/06 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 Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 22 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 St Martins DS0000024021.V300692.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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