Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Abbeywood House Abbeywood House Cary Park Babbacombe Torquay Devon TQ1 3NH The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michelle Finniear Date: 1 1 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Abbeywood House Abbeywood House Cary Park Babbacombe Torquay Devon TQ1 3NH 01803313909 01803313925 cliffstrange@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Anne Long Type of registration: Number of places registered: Mrs Phillipa Wanda Strange,Mr Clifford Derek Strange care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability 0 0 0 Over 65 30 30 30 Conditions of registration: Date of last inspection Brief description of the care home Abbeywood House is now registered to provide accommodation and care for a maximum of thirty people who are elderly and who may have physical disabilities and/or dementia following the completion of a ten-bed extension. The home is situated in a quiet residential area and overlooks Cary Park. Shops, churches and other local Care Homes for Older People
Page 2 of 8 amenities are within walking distance. The home is very well presented and all rooms seen were well decorated, comfortably furnished and clean. The home has sufficient adaptations and equipment to assist those with physical difficulties. Fees range between #350 and #500 depending on the care needs of the resident and the quality of the room. Inspection reports are available from the manager. Care Homes for Older People Page 3 of 8 What we found:
This inspection visit was to follow up issues raised in the recent Annual Service review and look at progress made since the last Key inspection. During the visit we looked at the developments being made to the care planning system and toured the home. We spoke to the Registered manager and compliance manager about the further developments planned for the home, and we looked at staffing recruitment and training. Since the last Inspection and the appointment of the compliance manager the home has begun implementing a new care planning system. The files for several people living at the home were seen to be nearly completed, and the compliance manager confirmed that a relatives meeting was to be held in the near future which would help relatives to be further involved in the development of these plans. Staff training will also be provided, so that the plans can be used and reviewed by all members of staff. The plans seen also included information on peoples life history which is particularly important when people have significant memory loss. They help staff understand the whole person in the context of the life they have lived. We also looked at staffing practices. The compliance manager could show that new staff are working through a comprehensive induction programme. This helps to ensure that staff understand their duties and the way in which the standards of the home are translated into care practice. A training and development programme has been provided which shows training needed by staff and also what they have already achieved. Additional staff are now undertaking National vocational qualifications, which are a nationally recognised award reflecting the competency of a staff member in their work role. Training is being delivered to staff in-house and also through external training providers. Supervision is being developed and the compliance manager could show the system they plan to implement in the next few weeks for all staff. At that time the requirement from the last inspection will be met. Supervision is a system that combines performance management and staff development. It should help to ensure that people are working consistently to support people living at the home. The medication systems at the home were seen and discussed briefly. Medication administration records were being completed appropriately, although some prescribed creams were not being signed for. This is important as it shows medication has been given out or used. Many policies and procedures have been updated since the compliance manager has been in post, and a further review is to be undertaken to ensure all areas of policy are up-to-date with current legislation. Discussion was held on activities for people with memory loss, and on current best practice when working and communicating with people with dementia. Discussion was also held on a staffing issue that occurred within the last year. The incident should have been reported to the Commission for Social Care Inspection and the local safeguarding team without delay. The manager was asked to supply a report Care Homes for Older People Page 4 of 8 on this following the annual service review, but had not done so. The manager and compliance manager agreed to do so and also need to contact the local safeguarding team to discuss further action. The home has a policy and procedure for the reporting of concerns which is there to protect people living at the home from abuse and abusive practices. This is on display openly within the home. A tour was made of all areas of the home. Abbeywood House offers comfortable and homely accommodation and many rooms were well personalised and individual. There were some issues with odour control in some bedrooms which was discussed with the manager. However cleaning staff on the day of the inspection visit were seen to be working hard to address this, including shampooing carpets and using appropriate cleaning materials. Discussion was also held on infection-control, and in particular the use of dispersable bags in the laundry to ensure that there is a separation between potentially infected or soiled linen and clean clothes being ironed or stored before returning to peoples rooms. What the care home does well: 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 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 36 Reg 18 (2) The registered person shall 27/12/2007 ensure that persons working at the care home receive appropriate induction, supervision and appraisal. This requirement was made at the last inspection. Care Homes for Older People Page 6 of 8 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 1 16 37 The registered person shall give notice to the comission without delay of any allegation of misconduct by the registered person or any person who works at the care home. This is to protect people living at the home from abuse and ensure that any investigation of abuse can be carried out appropriately. 19/11/2008 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 1 26 13 The registered person must ensure that clean linen and clothing is kept separateted from potentially infected or soiled laundry. This is to reduce the risk of cross infection. 12/12/2008 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 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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 8 of 8 - 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!
