Inspection on 27/06/05 for Abbeyfield St Martins

This inspection was carried out on 27th 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.

Other inspections for this house

Abbeyfield St Martins 02/11/09

Abbeyfield St Martins 30/07/07

Abbeyfield St Martins 02/08/06

Abbeyfield St Martins 12/12/05

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 Martin Square Larkfield Aylesford Kent ME20 6QJ Lead Inspector Fiona Holdaway Unannounced 27 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 St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abbeyfield St Martins Address Martins Square Larkfield Aylesford Kent ME20 6QJ 01732 842628 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 Janet Moulton CRH Care Home 41 Category(ies) of Old age (41) registration, with number of places Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25 April 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 H56-H06 S24021 St Martins V230219 270605 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 Inspector Fiona Holdaway. A tour of the home took place and the Inspector 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 St Martins H56-H06 S24021 St Martins V230219 270605 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 St Martins H56-H06 S24021 St Martins V230219 270605 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,and 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 are encouraged to visit beforehand. EVIDENCE: 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. One service user that had recently moved into the home said that he had ‘popped in’ once or twice and had been provided with sufficient information to make the decision to move in. Another service user had come for a few days respite on several occasions before taking the decision to move in permanently. 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. The home is equipped with mobile hoists and specialist equipment where a need has been identified. Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 8 Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 and 11 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. The staff on duty were observed indirectly throughout the inspection to interact in a positive and respectful manner with service users. Service users spoke highly of the care staff and their comments included: “they’re all kind and helpful”, “the staff are all nice and they’re always cheerful and friendly” and “the staff will help you with anything you need”. 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 as well as assessments of moving and handling, nutrition and risk of pressure sores. Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 10 Medication was seen kept securely. A monitored dosage system is in place and the homes MAR (Medication Administration Record) sampled were properly recorded. Service users care records contained information about individual’s wishes in the event of death. These had been recorded sensitively. Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 and 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 a varied balanced diet and excellent choice of food. EVIDENCE: An activities co-ordinator is employed in the home 5 days a week. Service users said that there was plenty to do in the home if you wanted to, there was always something going on and things to look forward to. Activities include gardening, bingo, quizzes, craft making, music / sing alongs. The home has organised outings, seasonal activities and entertainment that service users commented were highly appreciated. A trolley shop is available in the home 2 days a week. The home is adjacent to a small shopping centre and the activities coordinator also supports service users on an individual basis to go to the shops, bank or library as needed. The home operates an open visiting policy and service users stated that friends and family can visit at any time. Volunteers that support the home run bingo sessions. The home has links with the local church and a service is held in the home weekly. Minutes of a residents and relatives meeting were seen and evidenced that service users are consulted about all aspects of the home and their comments Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 12 and suggestions are acted on. From the comments made by service users it was evident that they make decisions based on information and choice. Service users are consulted in residents meetings about the menus and they spoke very highly of the food. 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 at lunchtime alternatives for anyone that wants something different are offered. A wide choice for tea of hot and cold tea food is offered. It was evident from discussion with the cook that the menu is flexible according to the wishes of service users and special diets are catered for. Service users may have snacks, crisps or sweets throughout the evening if they wish. The home has achieved the gold star award from Environmental Health for the 2nd year running. Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 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 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 St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 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 standard(s) 19,20,21,23,24 and 26. Service users live in a safe, well-maintained and clean environment. The standard of décor, furnishing and fittings are of a good standard providing a homely and pleasant living environment. EVIDENCE: St Martins is a purpose built dwelling and is situated in the centre of Larkfield with shops and other facilities in the immediate vicinity. There are four separate day rooms and a large dining room. There is also a day care centre within the home. The home was attractively decorated and comfortably furnished throughout and the standard of cleanliness was excellent. Many of the bedrooms viewed had been recently redecorated and furnished and the dining room and kitchen had also been redecorated. The overall appearance was very welcoming and pleasant. The home has a large garden with paved areas and some raised beds, the grounds are accessible for wheelchair users The home has 4 baths and one walk in shower and there are three rooms with ensuite shower facilities. Toilets are well provided throughout the home and there is also a visitor’s toilet. Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 15 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. Laundry facilities were very clean and the laundry person had good systems in place for ensuring a high standard of cleanliness and hygiene. However a bedpan washer is currently situated in the laundry room and it is recommended that consideration should be given to removing this to a more suitable site to prevent cross infection in a clean clothes area. Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 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 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 and 30 The numbers of staff employed are sufficient to provide the level of care required. More than 50 of staff have NVQ’s in care ensuring that the staff team have the knowledge and skills required. EVIDENCE: The staff rotas evidenced that there are sufficient numbers of staff to meet the needs of service users and there is consistent planning to cover any absences. There has been an increase in the numbers of staff with NVQ’s as more than 50 of the staff team have an NVQ’s level 2 in care and the rest of the staff are working towards these. Indirect observation of staff interaction with service users was excellent. Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 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 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) 31,33,37 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: The manager has many years experience in care work she is currently working towards the Registered Managers Award. The Manager demonstrated through discussion, a clear understanding of the needs of the service users and any current issues. Service users views are sought in residents meetings and acted upon. Abbeyfield operates an annual satisfaction survey for service users and their representatives. There is a separate meeting for friends and relatives although they are also welcome to attend the residents meetings too. A regular Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 18 newsletter is also sent out to keep everyone informed of the events and activities of the home. Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 19 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 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 x 2 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 3 x x x 3 x Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 20 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 OP26 Good Practice Recommendations it is recommended that the bedpan washer currently situated in the laundry room should be moved to a more suitable site to prevent the risk of cross infection in a clean clothes area. Abbeyfield St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 21 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 St Martins H56-H06 S24021 St Martins V230219 270605 Stage 4.doc Version 1.30 Page 22 - 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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