Inspection on 28/07/06 for Abbeygate Retirement Home

This inspection was carried out on 28th July 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 Retirement Home 04/03/09

Abbeygate Retirement Home 10/10/05

Abbeygate Retirement Home 20/04/05

Abbeygate Retirement Home 15/12/04

Abbeygate Retirement Home 21/04/04

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Abbeygate Retirement Home High Street Moulton Spalding Lincs PE12 6QB Lead Inspector Mr Toby Payne Key Unannounced Inspection 28th July 2006 08:10 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.V304082.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 Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeygate Retirement Home Address High Street Moulton Spalding Lincs PE12 6QB 01406 373343 F/P 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) broadgatehomes.com 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.V304082.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 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 25 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. The fees at the inspection on the 28/7/2006 ranged from £408 to £490 per week. Extras are for hairdressing which range from £8.75 to 29.75, chiropody £10, toiletries, personal newspapers and magazines Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and started at 8.10 am. It was undertaken using a review of all the information available to the inspector about Abbeygate Care Home. It took place over 5½ hours. The inspector spoke to 8 residents, 2 visitors, a visiting general practitioner, 5 members of staff, the deputy manager and general manager. The main method was called “case tracking”. This involved selecting one resident and tracking the care they received through the checking of records, discussion with them, the care staff and observation of how staff responded to their needs and that of the other residents. What the service does well: What has improved since the last inspection? Eight bedrooms have been repainted. A large plasma television has been provided for the lounge to enhance resident’s pleasure of watching the television. The entrance hall, 2 corridors and 2 toilets have been repainted. The manager has obtained a qualification in care. Abbeygate Retirement Home DS0000002610.V304082.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 Retirement Home DS0000002610.V304082.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 Retirement Home DS0000002610.V304082.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): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. 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 clear admission procedure, which identified the needs of residents coming into the home. Each resident received a comprehensive assessment by the manager. Individual records are kept for each resident and inspection of records for one of the most recent admissions showed that the person had received an Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 9 assessment and written confirmation that the home was able to meet their needs. Comments from a new resident was, “when I arrived I received flowers and a card welcoming me to the home”, a member of staff came out to see me and explained about the home, I am pleased I am here, staff have been very friendly and helpful”. A relative commented, “We took a long time to choose this home. We found staff very welcoming and friendly”. The home does not provide intermediate care. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 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, 9 and 10 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. There is good care planning in this home. The health and welfare needs of the people living in his home are fully met. Staff treat people in a kind and respectful way. EVIDENCE: All residents had detailed care plans, which described their health and welfare needs. The records outlined risk assessments, nutritional, mobility, social background 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. Care plans were individual, clearly written and person focused. However there was not very much evidence to show that the residents or their families had been involved in identifying their health and welfare needs. A visiting GP said how satisfied he was with the care and approach of staff. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 11 Staff responsible for the administration of medication had received training. The medication policy had been reviewed in March 2006. One person was medicating themselves with the guidance of staff. Records were well maintained. All residents spoke of how the staff respected their privacy and dignity and this was also covered in the staff induction programme. Staff knocked on doors before entering resident’s rooms and laughed and joked with the residents. Comment cards stated, “Care is very good”, Residents commented, “staff do not always come when you need them but when they do attend they are very polite and helpful” and “staff always knock on my door before entering”. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Residents receive good and nourishing meals. Social activities are well managed with the involvement of residents. EVIDENCE: 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 sing a longs and a monthly visit by a local choir. There was also a weekly religious service and shopping and leisure trips. There was also information about local village activities. A trip to Hunstanton is also planned for the 15th and 16th of August 2006. Residents could also choose how they spent their lives. Comments from residents were “I like to keep myself independent and am encouraged to do so” and “I can choose when to get up or go to bed to suit me”. Staff asked residents what they wished to eat and the home used local produce. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 13 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 was issued. The standard was good. Menus were seen to be balanced with flexible mealtime arrangements with snacks and beverages and fresh fruit. Comments from residents were “the food is ample” and “the food is very enjoyable”. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 14 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 the available evidence including a visit to this service. 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. Staff knew what abuse was and what to do if adult abuse was suspected. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using the available evidence including a visit to this service. 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: There is a maintenance programme and all residents were satisfied with the cleanliness of the home and their bedrooms. There were no odours. Resident’s responses in the comment cards showed that everyone felt the home was always clean. There were no adverse comments. A resident commented, “my room is kept clean and the way I like it”. 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 Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 16 the possibility of any resident being scalded by being in contact with a hot surface. There was a detailed infection control policy and gloves and aprons were provided for staff. Residents and visitors commented on how clean and well maintained the home was. The home has one open sluice and sluice cycle on both of the commercial washing machines. There is also one commercial tumble dryer. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 17 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 the available evidence including a visit to this service. 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: 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. An Investor’s in People award was received in February 2005 in recognition of its commitment to the education and development of the staff. Staff had been recruited correctly with checks by the Criminal Records Bureau. There was an extensive training programme for staff, which included training in care (National Vocational Qualifications), internal lectures and training from outside trainers. There was a training programme for 2006. Staff training has covered fire prevention, first aid, moving and handling and health and safety. Other training has covered continence care, communication team building, funeral awareness, infection control, and tissue viability and medication administration. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 18 Staff felt they had sufficient time to care and support the residents. Three quarters of care staff had obtained a caring qualification (NVQ). This exceeded the national requirements. Staff commented, “I feel that when I have gone home from here I have made a difference to peoples lives” and “I have learnt so much here”. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 19 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 the available evidence including a visit to this service. The home is well lead by a competent, well trained and committed manager. There is a confident, supported and trained staff team. EVIDENCE: The manager has obtained a management and care qualification. The manager also has extensive experience in caring for children and elderly people. She is also an assessor. The home had just sent out to residents and relatives a quality assurance survey to learn about their views of the home but no response had yet been received. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 20 Comment cards stated, “everybody at the home is very pleasant and nothing is too much” and “management and all sectors of care are in superb working order” Residents and visitors spoke of how they could approach the manager if they had any concerns. Comments were “I have confidence in the manager and the staff” and “staff know what they are doing” Resident’s families with the written the agreement of the resident look after their money. Where small amount of money are managed by the home again, written agreements are obtained and signatures obtained from residents. Not all staff receive formal supervision although this has been introduced. Staff also receive an annual appraisal. The home also had comprehensive and up to date health and safety policies. Staff had also received training on this subject. Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 21 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 3 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 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 x x 3 Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP7 Good Practice Recommendations It is recommended that the manager ensures that wherever possible the resident or their relative/advocate is involved in identifying their needs and involved in the reviews of care. Their signatures should signify this. It is recommended that the manager amends the induction programme to include reference to abuse prevention for all staff. It is recommended that the manager ensures that all care staff receive formal supervision at least 6 times a year. This includes all aspects of practice, philosophy of care in the home and their career development needs. 2 3 OP30 OP36 Abbeygate Retirement Home DS0000002610.V304082.R01.S.doc Version 5.2 Page 23 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.V304082.R01.S.doc Version 5.2 Page 24 - 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. 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