Inspection on 12/09/06 for Abbeygate Residential Home

This inspection was carried out on 12th September 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

Abbeygate Residential Home 18/03/09

Abbeygate Residential Home 30/09/08

Abbeygate Residential Home 13/10/05

Abbeygate Residential Home 05/04/05

Abbeygate Residential Home 04/11/04

Abbeygate Residential Home 21/05/04

Abbeygate Residential Home 29/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Abbeygate Residential Home 42 Quarry Road Winchester Hampshire SO23 0JS Lead Inspector Craig Willis Unannounced Inspection 12th September 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 Abbeygate Residential Home DS0000012223.V308192.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. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeygate Residential Home Address 42 Quarry Road Winchester Hampshire SO23 0JS 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) 01962 855056 01962 856910 Avonpark Care Centre Limited Jean Benjamin Care Home 30 Category(ies) of Dementia - over 65 years of age (4), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (30) Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Not more than 5 service users in the category MD (E) referred to above are to be accommodated at any one time for as long as service user D.O.B 01/11/1910 stays in the home; then revert to 4 service users Not more than four service users in the category DE (E) referred to above are to be accommodated at any one time. 13th October 2005 2. Date of last inspection Brief Description of the Service: Abbeygate is a large care home on the outskirts of Winchester and is part of the Avonpark Care Centre Ltd. group of homes. The home is registered to provide non-nursing care for 30 male and female older people. Four of the beds are registered for dementia and or mental health care provision. The home is located in a quiet, residential, area of Winchester, not far from the city centre and amenities. The home is surrounded by a large mature garden, which is not overlooked. Sufficient parking is available on the premises; there is a steep incline from the car park to the front door of the home but there are also steps from the car park to the side of the house. The manager reported on 27/6/06 that the fees at the home range from £327.04 to £479.00 per week. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to write this report was gained from a review of the information the provider sent to the Commission for Social Care Inspection (CSCI) following the last inspection and a site visit to the home on 12th September 2006. During the site visit the inspector spoke with residents, visiting relatives, visiting community nurses, care staff and the manager. A tour of the building was made and the inspector observed the care that staff were providing to residents. Documents relating to the running of the home were inspected during the visit. What the service does well: What has improved since the last inspection? The manager has developed policies and procedures for dealing with violence and aggression and for securing the building at night, which will help to protect residents and staff. The floor in the laundry room has been repaired, which ensures it is sealed and helps with infection control. Abbeygate Residential Home DS0000012223.V308192.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. Abbeygate Residential Home DS0000012223.V308192.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 Abbeygate Residential Home DS0000012223.V308192.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems to assess the needs of residents before they move into the home, which assures residents that their needs can be met. EVIDENCE: Prior to admission to the home the manager completes a full assessment of prospective residents to ensure that their needs can be met. This covers both physical and psychological needs. Information is obtained from the resident’s family and other health professionals. Following the assessment, the manager decides whether or not the home can meet the needs of that prospective resident. The needs identified during this assessment form the basis for the care plans that are written when the resident moves into the home. Relatives spoken with confirmed that an assessment was made of their relative’s needs. The assessments were seen in residents’ care files for the four residents whose care was tracked. The home does not provide intermediate care. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 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): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The details recorded in care plans, support to access health services and the way staff support residents ensures that they are treated with dignity and respect and their needs are met. EVIDENCE: The care plans of four service users were viewed during the visit. These documents set out how the assessed needs of service users should be met and were reviewed monthly, or sooner if needs changed significantly. All residents are registered with a local GP practice. The manager reported that they had a good relationship with the different practices. GPs visit the home when requested by the staff and one was visiting on the day of the visit. Two community nurses were visiting the home during the visit, and said that they thought the staff provided good quality care to residents and had the skills necessary to meet their needs. A community psychiatric nurse was also spoken with during the visit. He indicated that there was a good relationship with the home, which regularly accessed the service to meet the needs of Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 10 residents. Residents’ records showed that they were supported to attend regular optician appointments in the home. Medication was securely stored and administration records had been fully completed. The balance of medication held in the home matched the records, including the record for controlled medication. Records were available of medication that had been returned to the pharmacist to be destroyed. There was one incident in which a member of staff had brought in some medication for a resident as the resident was running low of their own medication. The manager investigated this incident and took disciplinary action against the member of staff, who subsequently resigned from the home. Since this incident additional checks have been put in place to ensure that residents’ medication does not run low and all staff have completed additional medication training. Residents spoken with said that staff treated them well and provide support in a manner that maintains their dignity. Screening is provided in the three double bedrooms and residents are given the opportunity to move into a single bedroom when one becomes available. During the visit a GP and the community nurses had consultations with residents in their bedrooms. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home provides good support to residents to take part in social activities and visitors are made to feel welcome. A choice of good food is provided for residents and meal times are a relaxed, social occasion. EVIDENCE: During the visit, some residents were being entertained by a visiting guitarist / singer. Other activities that are organised include bingo, a quiz and trips out. Residents’ interests are recorded as part of their initial assessment before moving in to the home. The home maintains links with local churches and a service is held every week for the residents. Relatives spoken with said they were able to visit at any time and were made to feel welcome. The home has an open visiting policy and the manager reported that residents are able to entertain visitors in one of the quiet lounges if they wish. During the visit a mealtime was observed. Staff were observed providing appropriate support to residents and there was a relaxed and friendly atmosphere in the dining room. Residents are able to take meals in their bedrooms if they wish. Residents spoken with said that the food was good, with one person saying it was excellent. One person spoken with said the staff had made a lot of effort to meet her relative’s dietary needs. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 12 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home has good systems to investigate complaints and protect residents from abuse. This gives residents and their representatives confidence that their concerns will be taken seriously and acted upon. EVIDENCE: The home’s complaints procedure is supplied to residents and their relatives with the service users’ guide. Residents and relatives spoken with said that they were aware of the home’s complaints procedure and were confident that any complaints would be taken seriously and responded to appropriately. Three of the seven relatives who completed a comment card said they were not aware of the home’s complaints procedures. The manager said that they had also completed a survey of relatives and got the same results. Consequently, since receiving the comment cards the manager has made sure that all relatives have again been provided with details of the complaints procedure. Staff have received training in adult protection issues and those spoken with demonstrated a good understanding of issues of abuse and action they should take if they witness or suspect abuse. Since the last inspection the manager has developed a policy and procedure for dealing with violence and aggression from residents. The manager reported that none of the residents currently present violent or aggressive behaviour. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 13 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 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is safe and generally clean, although action is needed to resolve an odour in one area and to re-decorate the communal areas to provide a comfortable, homely environment. EVIDENCE: A tour of all the communal areas of the home was made during the visit. The home is generally clean throughout, although one area of the downstairs hallway had an unpleasant odour. The manager reported that she was aware of this problem and action was going to be taken later that day to clean the carpets in this area. The manager also reported that action was being taken to help one resident to manage their continence. The home is in need of decoration throughout the communal areas as it is grubby and wheelchairs have scraped some walls. The manager reported that the provider had informed her that this work would be completed this year, although she does not yet have a date for the work to start. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 14 The home has a separate laundry room and since the last inspection the floor has been repaired to ensure it is sealed and helps with infection control. There are suitable hand-washing facilities throughout the home. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 15 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment procedures and the deployment of staff in sufficient numbers help to ensure that residents are protected. The home has a good training programme, although the planned provision of training in dementia care and mental health needs for all staff will help to ensure the home meets residents’ needs. EVIDENCE: Seven comment cards were received from relatives prior to the visit. Six of these stated that there was always sufficient staff on duty, one stated that they did not think there were sufficient staff. Residents, relatives and staff spoken with during the visit said they felt there were sufficient staff to meet the needs of residents. The home has a rota, which showed that there are at least four carers between 8am and 2pm, three carers between 2pm and 10pm and two carers between 10pm and 8am. In addition to care staff there are ancillary staff in the kitchen and cleaning the home. The manager reported that seven of the seventeen care staff currently have the National Vocational Qualification (NVQ) in care at level two or above. Arrangements are in place to support other staff to complete the qualification. The recruitment records of three members of staff were inspected during the visit. These were found to contain all of the required checks, including a Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 16 Criminal Records Bureau disclosure and two written references. Staff spoken with confirmed that they had been supplied with a copy of their terms and conditions of employment. Staff undertake an induction when they start work and other courses, including fire safety, moving and handling, first aid, food hygiene, adult protection and medication. Not all staff have undertaken training in dementia care and mental health needs. The manager reported that more training in these areas was planned, although she did not have any dates when courses would be taking place. The manager said she would follow this up with the provider to ensure that training is provided for all staff. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 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, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The home is well managed and has good systems to keep residents and staff safe and monitor the performance of the home, which are used to plan future improvements to the service. EVIDENCE: Since the last inspection the manager has been registered with the CSCI after completing an application process, during which she demonstrated her knowledge and fitness to manage a care home. The manager reported that she is currently completing the registered manager’s award. A senior manager of Avonpark Care Centre Limited makes monthly visits to the home to assess the quality of the service provided. A copy of the report from these visits is sent to the manager and includes any action that is required. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 18 The home keeps money for some residents for safekeeping. The records and money held for two residents was checked and the balance held was found to match the records. Receipts are kept for expenditure made on behalf of residents and money is individually stored in a safe in the office. Records demonstrated that the fire safety equipment was being regularly checked and serviced and that staff have received fire safety training. Hazardous chemicals were suitably stored, in locked cupboards. The lift, hoists and emergency call systems have all been serviced regularly. The manager reported that the servicing of the gas system was overdue, but she had followed this up and it was being completed on the day following the visit. Since the last inspection the manager has developed a formal procedure to ensure that the building is secured at night. This has been shared with all staff through their meetings to ensure that they are all aware of their responsibilities. Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 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 X 3 X 3 X X 3 Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 20 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. 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. Refer to Standard Good Practice Recommendations Abbeygate Residential Home DS0000012223.V308192.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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