Inspection on 22/10/08 for Abbeygate Rest Home

This inspection was carried out on 22nd October 2008.

CSCI found this care home to be providing an Good service.

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 Rest Home 20/09/06

Abbeygate Rest Home 03/11/05

Abbeygate Rest Home 04/07/05

Abbeygate Rest Home 13/10/04

Abbeygate Rest Home 12/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 13/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Abbeygate Rest Home 9 North Street Crowland Lincs PE6 0EG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Alison Jessop     Date: 2 2 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Abbeygate Rest Home 9 North Street Crowland Lincs PE6 0EG 01733211429 F/P01733211553 bgate3@totaldsl.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Gay Addy Type of registration: Number of places registered: Abbeygate Rest Homes Limited care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Abbeygate Care Home is a two storey older building with a purpose built single storey extension. The home is set in its own grounds within walking distance of the centre of the market town of Crowland where there are shops and local facilities. Peterborough and Spalding are seven and ten miles away respectively. There is a small car park to the front of the home and garden areas to the side and rear of the building. The home is on a bus route from Spalding to Peterborough. The bedrooms are single with the exception of three which are shared. The home is registered for up to 31 service users aged over 65 years and on the day of the inspection there were 19 residents. The home is one of two homes owned by Broadgate Builders, one of the Directors being the General Manager, who oversees both homes. The current fees range from 410 pounds to a maximum of 480 pounds. A copy of the Service User Guide and Statement of Purpose can be obtained from the manager. Care Homes for Older People Page 4 of 23 Over 65 31 0 Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced visit and it formed part of a key inspection, focusing on key standards, which have the potential to affect the health, safety and welfare of people who use the service. Throughout this report the terms we and us refer to The Commission for Social Care Inspection (CSCI). The visit lasted approximately four hours and we took into account previous information held by us including the previous inspection report, their service history and records of any incidents that we had been notified of since the last inspection. We sent out surveys to people before we visited the service but to date none of these have been returned to us. The main method used to carry out the inspection is called case tracking, this includes Care Homes for Older People Page 6 of 23 following the care of a sample of three people through their records and assessing their care. We spoke to five people who use the service and saw rooms of those people who said we could and spoke to two staff members. The manager was present throughout the visit and the general outcomes of the visit were discussed with her. The General Manager (Responsible Individual) was also present at the beginning of the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken, ensuring that so far as possible service users needs can be met. Evidence: The manager of the service carries out a comprehensive needs assessment for all referrals. Information is also received from other professionals to ensure that the persons needs can be met. Prospective residents are encouraged to be involved in the assessment process and individual preferences are gained at this stage. The manager said that she also fully considers the needs of the other residents during the admission process. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Abbeygate receive good quality care. Care plans are very person centered and also promote the independence of the resident. Evidence: The residents all looked well cared for. Feedback about the care was excellent. One resident said Its a very nice place, I get really well looked after. A visiting district nurse said the care here is excellent. All care plans have been reviewed and are written in consultation with the resident and/or their families. The care plans are detailed and describe the individual needs and preferences of each resident. Risk assessments are very detailed, particularly those for moving and handling the residents. Residents have access to health care services as required and the health and well-being of the residents is closely monitored. Medication procedures in the home are satisfactory. Systems for storage and recording are adequately maintained. Senior staff receive regular training on medication Care Homes for Older People Page 11 of 23 Evidence: procedures and staff spoken to took their role in relation to this very seriously and welcome any good practice suggestions. The staff were observed to treat the residents in a dignified and sensitive manner. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although most of the residents are consulted about their preferences relating social stimulation, there may be limited stimulation for those whose physical needs prevent participation. Evidence: Most of the residents spoken to said they are not interested in doing activities. The manager stated that they have organised various activities in the past which have not been a success due to lack of participation. Residents said they enjoy watching TV, listening to music and watching films. A day to trip to Skegness was organised in the summer which the residents enjoyed. They also organise regular entertainment and a Christmas party. One resident who is being cared for in bed on the advice of the district nurse said I dont do much other than sit here all day, i dont go out of my room and its very lonely. The manager stated that the resident was not always safe sitting in the arm chair in the lounge and also needed bed rest in order to prevent a pressure sore from worsening. A discussion was held with the manager about what can be put in place in order to ensure that the resident does not feel lonely and isolated. Feedback about the food was very good. One resident said the food is really good, Care Homes for Older People Page 13 of 23 Evidence: they present it very nicely its not just shoved on the plate. Residents who require assistance with eating were helped at an appropriate pace and in a dignified manner. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a robust complaints procedure and people are aware of how to use this. Policies and procedures in the home protect people from abuse. Evidence: The complaints procedure is displayed on the walls in the hallway and conservatory. All residents spoken to said that they know how to make a complaint, although none had needed to. The home has not received any complaints in the last 12 months. The service has a procedure on how to protect people from abuse. Staff have received training on this and those spoken to confirmed that they are fully aware of the procedure. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Abbeygate provides a homely, well maintained and safe environemnt to the people who live there. Evidence: The home is attractively decorated and well maintained. The lounges and bedrooms looked homely with personal items adding to the homely environment. The home has been developed since the last inspection. The front door is now located opposite the managers office so that the manager can see anyone entering or leaving the home. The previous entrance which is a bright conservatory has been adapted into a lounge and alot of the residents said they enjoy sitting in there as they felt like they were sitting out in the garden whilst enjoying the warmth. Some of the bedrooms have been redecorated and have new carpets. Since the homes last fire inspection new fire detectors have been fitted to doors and new fire doors are being fitted in the near future in order to ensure that the home conforms to Fire Safety Regulations. The home was exceptionally clean and no malodours were detected in any areas. Staff observe good infection control procedures. Care Homes for Older People Page 16 of 23 Care Homes for Older People Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are well trained and are qualified to carry out their role in a safe manner. Recruitment procedures help protect residents from harm. Evidence: There are three carers on each shift with a manager. Senior care staff are trained to administer medication to the residents. There are two night staff on duty and a management on call duty system. Approximately 80 of staff working in the home have either achieved or are currently completing an NVQ qualification. Staff receive regular training in all areas such as Moving and Handling, Health & Safety, Fire Safety, Infection Control, Dementia Care, Oral Hygiene and Adult Safeguarding. We looked at the recruitment files for two new staff. Both of the files had documentation required such as previous employment references and Criminal Record Disclosures. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and provides a safe place for people to live. Evidence: The manager has worked in the home many years and the Responsible Individual visits the home on a daily basis. The registered manager has a Registered Managers Award and NVQ Assessors Award. Both the Registered Manager and General Manager are keen to ensure that a good quality service is provided. Residents are asked their views every six months. Residents meetings are held on an as and when needed basis, these are mainly to discuss the menus and other operational issues. Staff meetings are also held on a regular basis and a handover between shifts and a new communication book ensures that communication is maintained between staff. There are safe systems in place for the management and protection of residents Care Homes for Older People Page 19 of 23 Evidence: personal finances. The manager ensures that any accidents which result in a visit to the hospital are reported to CSCI immediately. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 12 It is recommended that ways in which to stimulate residents who are being cared for in bed or in their bedrooms are sought in order to minimise isolation. Specialise equipment should be sourced to enable people to come out of their bedrooms. Care Homes for Older People Page 22 of 23 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 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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