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Inspection on 10/10/05 for Abbeygate Retirement Home

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

This inspection was carried out on 10th October 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

People who live in this home are well cared for by a well managed, educated, competent team of staff who meet their individual needs. Those residents who were spoken with said they liked living in the home and that the staff responded to their needs in a kind and courteous manner. Specific comments were "I am very satisfied with the home" and "I like it here". The assessment and review of care is thorough with an activity and recreation programme provided which service users enjoy taking part in. Residents are also involved in the running of the home and are consulted about changes in the home. People live in comfortable, safe, accessible and well maintained accommodation.

What has improved since the last inspection?

Four bedrooms have been repainted with residents being involved in choosing the colours. A steam carpet cleaner has been purchased to improve cleaning to carpets and upholstery. Two new fridges have been purchased for the kitchen. This has improved the storage space and temperature control.

What the care home could do better:

The manager is already identifying improvements. Internal audits to monitor the quality of service are being introduced.

CARE HOMES FOR OLDER PEOPLE Abbeygate Retirement Home High Street Moulton Spalding Lincs PE12 6QB Lead Inspector Mr Toby Payne Unannounced Inspection 10th October 2005 08:40 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 Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 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 Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Abbeygate Retirement Home Address High Street Moulton Spalding Lincs PE12 6QB 01406 373343 01406 373343 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) Abbeygate Rest Homes Limited Ms Donna Bailey Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 2005 Brief Description of the Service: Abbeygate Care Home is a modern purpose built single storey building. The home provides personal care for 27 older persons aged 65 years and over. The home is located in the village of Moulton, which is 6 miles from the town of Spalding and 4 miles from the town of Holbeach. It is in the centre of the village with the home sharing the grounds with the tallest windmill in England. Accommodation comprises 26 single bedrooms and one double bedroom, all but one single bedroom having an en-suite. There is car parking at the side of the home and garden areas with seating overlooking open countryside. The home is one of two care homes owned by Broadgate Builders. The General Manager is actively involved in the running of the home. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 8.40 a.m. It took place over five hours. The inspector spoke to 9 residents and 3 members of staff a visiting GP as well as the manager. The main method of inspection was called “case tracking”. This involved selecting 2 residents and tracking the care they received through the checking of records, discussion with them, the care staff and observation of the care they received. What the service does well: What has improved since the last inspection? What they could do better: The manager is already identifying improvements. Internal audits to monitor the quality of service are being introduced. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 6 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 Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 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 Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 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): 2 and 5 Residents receive information to enable them to make a choice as to whether or not they wish to come to this home. Abbeygate Care Home meets the needs of residents coming into the home. EVIDENCE: There is a detailed statement of purpose and service user’s guide and a copy of the service user’s guide is given to each person when being admitted to the home. There is a detailed admission procedure, which identifies the needs of residents coming into the home. Each resident receives a detailed assessment and written confirmation that the home was able to meet their needs. Residents can have a trial visit lasting up to 8 weeks to see whether or not they like the home. During the inspection a new resident was warmly welcomed in a polite, friendly manner. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 9 The home provides a welcome card and flowers to new admissions. All people receive detailed terms and conditions when being admitted to the home. Comments from residents were, “I chose to come to this home and all my questions were answered to make my decision” and “I received a warm reception when I came to the home for the first time”. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10 and 11 There is good care planning in this home. The health and welfare needs of the people living in his home are fully met. EVIDENCE: All residents had detailed care plans, which described their health and welfare needs. The records outlined risk assessments, nutritional and dependency assessments. Care plans showed evidence of promoting resident’s independence, respect, dignity and choice. There were also clear directions concerning the administration of medication. Staff responsible for the administration of medication had received training. Care plans were individual, clearly written and person focused. Care plans are reviewed every 6 months with the involvement of the resident, their family/advocate and a representative of the home. A visiting GP said how satisfied he was with the care and approach of staff. All residents spoke of how the staff respected their privacy and dignity and this is also covered in the staff induction programme. Staff were seen to address residents in a courteous and respectful manner. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 11 There were detailed policies and procedures for death and dying and staff have received funeral awareness training. Comments from residents were “I have a lovely person who attends to me” and “staff give me time”. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Residents receive good and nourishing meals. Social activities are well managed with the involvement of residents. EVIDENCE: All residents said they liked the food. Staff ask residents what they wish to eat and the home uses local produce. The home received an inspection from an Environmental Health Officer in October 2005. As a result of this, a Food Safety Award from South Holland District Council will be reissued to the home because of the quality of its catering service. Menus were seen to be balanced with flexible mealtime arrangements with snacks and beverages and fresh fruit. Comments from residents were “I find the food very enjoyable” and “I enjoy the food”. Staff members are responsible for arranging social activities. There was a wide programme of activities, which was displayed on a notice board at the entrance to the home. Activities included Tai Chi every 2 weeks, sing a longs and a monthly visit by a local choir. There is also a weekly religious service and shopping and leisure trips. There was also information about local village activities. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 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 the following standard(s): 16 and 17 The home takes the issue of addressing complaints and ensuring that residents are safe very seriously and has a comprehensive complaints and adult protection procedure. EVIDENCE: Each resident receives a detailed complaints procedure when they are admitted to the home. No complaints have been received by the CSCI and home since the last inspection. None of the residents had any complaints about the home and felt they could discuss any concerns with staff or the manager. Staff also knew what to do if they received a complaint from a resident. All staff have received recent adult protection training on the 4/10/2005 and staff knew what abuse was and what to do if adult abuse was suspected. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 22, 23 and 24 The home is well maintained, clean and attractively decorated. Furnishings are of a high standard and any maintenance required is attended to swiftly. Residents are also safe. EVIDENCE: Residents said how satisfied they were with the decoration and cleanliness of the home. They all spoke of how much they liked their bedrooms. The housekeeping staff monitor how clean the home is and are responsible for ensuring that hot water temperatures are safe. The home has under floor heating, which is supplemented by heating in the ceiling. This further reduces the possibility of any resident being scalded by being in contact with a hot surface. In order to enhance the privacy of residents the home has installed blinds to bedroom windows, which are overlooked by the windmill next to the home. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 15 There is a level entrance to the home by way of double doors. Corridors throughout the home are wide and can accommodate wheelchairs. The home has one mobile hoist, special mattresses, sliding sheets, turntables and safety belts. The home has grab rails in all corridors. All bath/shower rooms and toilets are accessible by disabled persons with grab rails. These facilities have signs indicating their purpose. There are also 2 special baths to enable access and a bathroom with shower facilities. Where required, specialist advice can be obtained from Occupational and Physiotherapists. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 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 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 and 30 There is a well trained and competent staff team. The numbers of staff are sufficient for the numbers of residents. Staff are correctly recruited and there is a very well established team EVIDENCE: An Investor’s in People award was received in February 2005 in recognition of its commitment to the education and development of the staff. There is an extensive training programme for staff, which includes training in care (NVQ), internal lectures and training from outside trainers. There is a training programme for 2005. Staff told the inspector how the training provided had enabled them to improve the care and support for the residents. Three quarters of care staff have obtained a caring qualification. This exceeds the national requirements. Staff commented, “we have a lot of training” and “we have a good team of staff”. Residents did not express any worries about the level or availability of staff. During the inspection staff were seen to promptly attend to residents needs. Staff also felt they had sufficient time to care and support the residents. One member spoke of the “low staff turnover”. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 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, 36 and 37 The home is well lead by a competent, well trained and committed manager. This in turn has given rise to a confident, supported and trained staff team. EVIDENCE: The manager has obtained a management qualification and continues to study for a qualification in care. The manager also has extensive experience in caring for children and elderly people. She is also an assessor. There are regular staff and residents meetings. Residents and staff spoke of how they could approach the manager if they had any concerns. Comments were “I am very satisfied”, “I like it here”, the manager is very supportive and nothing is too much for her”, “I know what I am doing” and “I look forward to coming to work”. The home has comprehensive policies and procedures for employment, induction, training and supervision. Formal staff supervision have been introduced for all care staff. Staff also receive an annual appraisal. Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 18 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 3 x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x 3 3 3 x x STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 x x 3 3 3 x Abbeygate Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 19 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. 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 Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Retirement Home DS0000002610.V255931.R01.S.doc Version 5.0 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!