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Inspection on 28/11/08 for Abbeymoor Care Home

Also see our care home review for Abbeymoor Care Home for more information

This inspection was carried out on 28th November 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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 home is currently dormant.

What has improved since the last inspection?

The home is currently dormant.

What the care home could do better:

The home is currently dormant.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Abbeymoor Care Home Sherwood Road Worksop Nottinghamshire S80 1QW     The quality rating for this care home is:   zero star poor 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: Stephen Benson     Date: 2 8 1 1 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. that people have said are important to them: They reflect the things 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 21 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 21 Information about the care home Name of care home: Address: Abbeymoor Care Home Sherwood Road Worksop Nottinghamshire S80 1QW 01909475660 01909480998 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Care Companions Healthcare Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 25 Number of places (if applicable): Under 65 Over 65 19 0 19 19 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability terminally ill Additional conditions: 0 6 0 0 19 4 of the beds may be used for service users over the age of 60 years MD Category can only be used for Younger adults (Eating Disorder) age 18 to 65 There will be a Lead, Head of care,for the eating Disorders unit on site between the hours of 08:00 and 18:30 Date of last inspection Care Homes for Older People Page 4 of 21 Brief description of the care home Abbeymoor is a care home that provides residential and specialist care to adults from the age of eighteen. There are 25 places and services are offered to both female and male residents. The care home is registered to provide specialist care and support for up to six adults between the ages of eighteen and sixty-five, and 19 places for older people, people with dementia and people with a physical disability over 65 years. Six beds provide a specialist Younger Adult unit for women and men who have a diagnosed Eating Disorder. The home can offer short term and long term residential care. Abbeymoor is located close to shops and local services (about 500 metres) and there is access to public transport including a train station (about 500 metres). The home is detached and set in its own grounds with a car park to the front of the building. The building is adapted to cater for the needs of people with mobility problems and all areas within the home are accessible, with a shaft lift to each of the three floors. The Younger Adult unit is currently not staffed or operational. The fees start from £338 per week but the higher rates were not known in the home. The last key inspection report was in the office but there was not a copy of the two random inspection reports from 11/01/08 and 22/05/08. Care Homes for Older People Page 5 of 21 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: zero star poor 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: The home was visited on 28 11 08 and was found to be locked up. A tour of the outside was undertaken, which did not show any signs that the building is in current use. Judgements made in this report are therefore based on the evidence gathered at the previous key inspection. Care Homes for Older People Page 6 of 21 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 7 of 21 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 8 of 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is currently dormant and is not providing any services. Evidence: I visited the home on 28/11/08. There were no people in the home and no signs that anyone was staying in the home. Care Homes for Older People Page 9 of 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is currently dormant and is not providing any services. Evidence: I visited the home on 28/11/08. There were no people in the home and no signs that anyone was staying in the home. Care Homes for Older People Page 10 of 21 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is currently dormant and is not providing any services. Evidence: I visited the home on 28/11/08. There were no people in the home and no signs that anyone was staying in the home. Care Homes for Older People Page 11 of 21 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 home is currently dormant and is not providing any services. Evidence: I visited the home on 28/11/08. There were no people in the home and no signs that anyone was staying in the home. Care Homes for Older People Page 12 of 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is currently dormant and is not providing any services. Evidence: I visited the home on 28/11/08. There were no people in the home and no signs that anyone was staying in the home. Care Homes for Older People Page 13 of 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is currently dormant and is not providing any services. Evidence: I visited the home on 28/11/08. There were no people in the home and no signs that anyone was staying in the home. Care Homes for Older People Page 14 of 21 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 poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is currently dormant and is not providing any services. Evidence: I visited the home on 28/11/08. There were no people in the home and no signs that anyone was staying in the home. Care Homes for Older People Page 15 of 21 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 1 4(1) The Statement of Purpose must give an accurate reflection of the services provided within the home. This is to make sure that people who live in the home or who are considering moving there know what they can expect. All people using the service must have an up to date, detailed care plan that is kept in good order. This will ensure that they receive person centred support that meets their needs. 19/08/2008 2 7 15(1) 01/09/2008 3 9 13(2) When medication is 01/09/2008 administered to people living in the home it must be clearly recorded in the Medicine Administration Records. This will ensure that people receive the correct levels of medication. 4 10 12(4)(a) People should receive any assistance in a way that maintains their privacy and dignity so people do not feel embarrassed or degraded 19/08/2008 Care Homes for Older People Page 16 of 21 5 12 16(2)(n) Residents must be consulted 19/08/2008 with about their programme of activities and facilities for recreation and leisure must be provided. This requirement had a timescale of 30/11/07, which has not been met. Enforcement action is now being considered 6 15 16 (2)(i) All food must be stored and 19/08/2008 prepared in a safe manner so that people are not placed at risk of food poisoning. This requirement had a timescale of 22/05/08, which has not been met. Enforcement action is now being considered 7 15 16 (2)(i) The current catering 19/08/2008 arrangements must be improved so there is sufficient and freshly cooked food to provide a healthy and varied diet that people who live in the home like. This will ensure that people have a variety of meals that they enjoy. This requirement had a timescale of 22/05/08, which has not been met. Enforcement action is now being considered 8 19 23(2)(d) The physical condition of the 01/02/2009 home and grounds must be improved so that people live in an environment they find Page 17 of 21 Care Homes for Older People pleasant and homely 9 27 18 (1)(a) There must be sufficient staff 01/09/2008 employed to provide the staffing level required to meet the needs of people who live in the home. 10 29 Regulation 19 Every member of staff 19/08/2008 working at Abbeymoor must have all of the documentation outlined in Schedule 2 of the Care Standards Act (2000) in their personal file. This will include two written references, and these should be obtained no matter how long the individual has been in post. This will ensure people living in the home are cared fro by people who are suitable to do so. This requirement had a timescale of 22/05/08, which has not been met. Enforcement action is now being considered 11 30 Regulation 18 Staff working at Abbeymoor must receive training in the mandatory areas, and have an annual update to ensure that they are aware of the latest/ best practice. This will ensure that people living in the home are cared for by suitably trained staff. This requirement had a timescale of 22/05/08, which has not been met. Enforcement action is now 19/08/2008 Care Homes for Older People Page 18 of 21 being considered 12 31 Regulation 8 A registered manager to 19/08/2008 oversee the day-to-day operation of Abbeymoor must be appointed. This will ensure that there is someone accountable running the home in the best interest of the people living there. This requirement had a timescale of 22/05/08, which has not been met. Enforcement action is now being considered 13 31 18(1)(a) There must be suitable 19/08/2008 arrangements made, including designated time for the running of the home, whilst a new manager is recruited. This will ensure that people living in the home have someone managing the home in their best interests. Care Homes for Older People Page 19 of 21 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 Care Homes for Older People Page 20 of 21 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 © (2009) 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 21 of 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!