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Inspection on 05/04/05 for Abbeygate Residential Home

Also see our care home review for Abbeygate Residential Home for more information

This inspection was carried out on 5th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff in the home provide the care and support that the residents require. The needs of the residents are documented in their individual care plans and every effort is made to ensure that personal, health and social needs are met. Residents that were spoken to praised the staff, saying they received all the care and support that they required. The meals were seen to be appetising; residents confirmed that choices were available.

What has improved since the last inspection?

Requirements made following the last inspection have been completed and liquid soap and paper hand towel dispensers were seen at each communal sink.

What the care home could do better:

Internal and external decoration should be included in this years plans for the home, as the home is looking tired and tatty, detracting from the good care provision.

CARE HOMES FOR OLDER PEOPLE Abbeygate Residential Home 42 Quarry Road Winchester Hampshire SO23 0JS Lead Inspector Pat Griffiths Unnounced 05 April 05 14:00 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. Abbeygate Residential Home Version 1.10 Page 3 SERVICE INFORMATION Name of service Abbeygate Residential Home Address 42 Quarry Road Winchester Hampshire SO23 0JS 01962 855056 01962 856910 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) Avonpark Care Centre Limited CRH 30 Category(ies) of Dementia, Over 65 - DE (E) - 4 registration, with number Mental Disorder - MD(E) - 4 of places Old Age - OP - 30 Abbeygate Residential Home Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. Not more than 5 services 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 2. Not more than four services users in the category DE(E) referred to above are to be accommodated at any one time. Date of last inspection 4.11.04 Brief Description of the Service: Abbeygate is a large care home on the outskirts of Winchester and is part of Avonpark Care Centre Ltd. group of homes. The home is registered to provide non-nursing care for 30 male and female older people over sixty years of age. Four of the male and female 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. Abbeygate Residential Home Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. Opportunity was taken to look around the home, view records and policies and talk to staff and residents. An acting manager, who will apply to be the registered manager on completion of her probationary period, has managed the home for the last three months. All service users, who prefer to be called residents, spoken to expressed satisfaction with the services and care received at the home. Communal areas were well fairly well maintained but the home would benefit from redecoration in some areas. The home continues to meet most of the minimum standards and regulations, the staff and management are committed to providing a good standard of service to the residents. What the service does well: What has improved since the last inspection? Requirements made following the last inspection have been completed and liquid soap and paper hand towel dispensers were seen at each communal sink. Abbeygate Residential Home Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Abbeygate Residential Home Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Abbeygate Residential Home Version 1.10 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 standard(s) These standards were not examined on this occasion. The home does not provide intermediate care. EVIDENCE: Abbeygate Residential Home Version 1.10 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 and 8 Personal Care plans appear to contain all necessary information to meet the needs of the residents. There are no current photographs of residents in their files. It is apparent that all residents have access to a GP, dentist, optician and chiropodist should they needs their services EVIDENCE: All residents have an individual care plan, outlining all their health, personal and social care needs. The plans that were examined indicated that residents, where able, were involved in planning their own care and activities. Relatives or friends were also involved, helping residents to make informed choices. Visits from doctors and the District nurse are recorded in the care plans. Residents are encouraged to take part in a variety of activities, including arts, crafts, quizzes and music and exercise sessions. Abbeygate Residential Home Version 1.10 Page 10 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 Residents have a varied life at the home with various formal and informal activities available and visitors are encouraged. EVIDENCE: The residents have regular contact with the local church and local school and are visited by professional entertainers. Residents who choose to do so get out and about, on the day of inspection one resident was going out with a visitor for afternoon tea. Staff also undertake activities with the residents. The visitor’s book showed that visitors are received in the home with no restrictions on visiting times. The bedrooms seen on the day of inspection had been personalised with resident’s own furniture and ornaments. The menu is on display and residents were seen discussing their choices for their evening meal with the care staff. Residents commented that choices were available at each meal and individual preferences were accommodated. Abbeygate Residential Home Version 1.10 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Arrangements are in place to protect residents and respond to their concerns. EVIDENCE: The home has a complaints policy, which contains the relevant information such as timescales and who deals with complaints. This information is available to residents and their relatives and friends. The complaints book was checked and the need for confidentiality was discussed with the manager. Details of the complaints policy are included in the Service Users Guide, a copy of which was seen on the table near the front door of the home. Abbeygate Residential Home Version 1.10 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 A comfortable and safe standard of accommodation is provided for the residents EVIDENCE: In general the home is well maintained and suits the residents needs. The decoration and furnishings create a homely and comfortable atmosphere and a ‘rolling programme’ of decoration will ensure this continues. All areas of the home smelled pleasant and were clean, but an area of one the sitting rooms needs attention. There are three lounges and a dining room on the ground floor, ensuring that there are some quiet areas available. Bedrooms that were seen during the visit have been personalised with the residents own possessions and looked homely and comfortable Residents spoken to during the visit were looking forward to the warmer weather when they would be able to sit out in the garden, which has lovely views over the local countryside. Abbeygate Residential Home Version 1.10 Page 13 Abbeygate Residential Home Version 1.10 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 The home has a recruitment policy, which is not always followed EVIDENCE: The new manager has employed a new cook and a new carer in the last month. Examination of their files indicated that proof of identification was available, but two written references had not been obtained and CRB, POVA or POVAfirst checks had not been completed. Some of the information was held at Head Office, but it should all be available in the home. Residents spoken to were very complimentary about the staff and the care they received from them. On the day of the visit the catering manager was completing the induction programme and training of the new chef. Abbeygate Residential Home Version 1.10 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards were not assessed on this visit. The manager is currently undertaking her probationary period with the company and will apply to be registered manager when this is successfully completed. EVIDENCE: Abbeygate Residential Home Version 1.10 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x x Abbeygate Residential Home Version 1.10 Page 17 n 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. 3. Standard 7 19 29 Regulation 17 1a and Sch 3 23,2,c 19 & Sch 2 Requirement A photograph of the service user must be contained in their personal file The fittings for the bath hoist in Toilet 15 must be replaced or refurbished The recruitment procedure must be followed for each new staff member and all staff files must contained the documentation outlined in Schedule 2 Timescale for action 30/06/200 5 30/07/200 5 30/06/200 5 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Abbeygate Residential Home Version 1.10 Page 18 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO16 3TP 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 Abbeygate Residential Home Version 1.10 Page 19 - 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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