Inspection on 12/07/06 for Abbeywood Tottington Limited

This inspection was carried out on 12th 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

Abbeywood Tottington Limited 07/12/09

Abbeywood Tottington Limited 10/10/07

Abbeywood Tottington Limited 16/09/05

Abbeywood Tottington Limited 18/04/05

Abbeywood Tottington Limited 03/09/04

Abbeywood Tottington Limited 11/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Abbeywood Tottington Limited Abbeywood 104 Market Street Tottington Bury Lancs BL8 3LS Lead Inspector Mike Murphy Unannounced Inspection 12th July 2006 09:30 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 Abbeywood Tottington Limited DS0000008439.V298099.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. Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeywood Tottington Limited Address Abbeywood 104 Market Street Tottington Bury Lancs BL8 3LS 01204 882370 01204 882507 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) Abbeywood Tottington Limited Mrs Irene Elaine Farnworth Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the maximum registered number 40, there can be: 40 Older People (OP). The service should employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. 16th September 2005 Date of last inspection Brief Description of the Service: Care services at Abbeywood are provided in a large property built on two levels with a passenger lift to the first floor.The home provides 40 places for the care of Older people who are in need of personal care. The home does not provide nursing care. All bedrooms are provided with en-suite facilities. The home is situated within walking distance of Tottington village centre, and is close to main bus routes. Decoration and furnishing is to a high standard. Current fees are £380 to £390 per week (figures supplied by provider prior to inspection) Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of five hours on the 12th of July 2006. Time was spent talking privately to residents, a number of relatives, and the manager and staff. All the communal lounge and dining areas were inspected as were a number of resident’s bedrooms. Care records and other records that are kept in relation to residents were also inspected. Residents appeared to be well cared for and content. The home was being managed appropriately and appropriately staffed to meet the needs of residents. What the service does well: What has improved since the last inspection? The issues identified, in the last inspection report (February 2006), have been addressed. Residents and relatives say that the programme of social and leisure activities and outings have increased and improved over recent months. Residents clearly value this improvement. Abbeywood Tottington Limited DS0000008439.V298099.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. Abbeywood Tottington Limited DS0000008439.V298099.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 Abbeywood Tottington Limited DS0000008439.V298099.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): 1,2,3,4,5. Standard 6 does not apply to this standard. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are provided with the information they need to make an informed choice about where to live and the views of resident’s are central to the process of admission to the home. EVIDENCE: All prospective and existing residents are provided with a ‘service users guide’ that includes a range of information about the home, the services provided, the experience and qualifications of the staff, how to access the most recent inspection report, and how to complain about the service if necessary. Residents and relatives were aware of this document. A written contract is provided to all residents admitted to the home that details the terms and conditions of occupancy. Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 9 All potential residents have their needs assessed prior to admission by the home manager. This is to ensure that the manager can objectively judge if the home will be able to meet the potential resident’s needs appropriately. Discussions with residents, relatives, staff and the manager indicated that the admission procedure is aimed at ensuring resident’s admission to the home is monitored closely and that the resident’s experience is as less stressful as possible. Comments made to the inspector included ‘ I felt that I was consulted properly before deciding if I should come here’, ‘The manager came to see me at home and then I was able to visit the home before I was admitted’, ‘my mum has been properly looked after since coming to Abbeywood and the right choice has been made’. Abbeywood Tottington Limited DS0000008439.V298099.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): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The health and personal care residents at the home receive is appropriate and is meeting the expectations of residents and their relatives. EVIDENCE: The care records of 4 resident’s were inspected in detail. These contained assessments of need, care plans, risk assessments, and daily statements. Care plans addressed the health and social care needs of residents and were evaluated regularly – more formal reviews are also periodically reviewed and incorporate the views of residents and their relatives where possible. Assessments of nutrition (including weight monitoring) are completed regularly. However whilst it is acknowledged that resident’s mobility needs are assessed regularly it is strongly recommended that their moving and handling needs are assessed on a monthly basis using an appropriate risk assessment tool. Discussion with residents indicated that they were satisfied with the care they receive and that they are able to access health and social care services as their Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 11 individual needs dictate. All residents are registered with a local GP and it was evident that all were assisted in accessing optical, chiropody, dental, district nurses and other specialist services as they required. A record is maintained of all contacts with health and social care professionals. Relatives were of the view that they were kept informed of all significant changes in their relation’s condition. The procedures for the receipt, recording, storage, handling, administration and disposal of resident’s medicines were appropriate. Senior care staff are responsible for all aspects of managing medication in the home – all have been trained by Boots in the management of residents medication. However it is advised that the home review the frequency of how often this training is updated. Medication administration records had been completed appropriately. Discussion with residents revealed that they felt they were treated with respect and that their right to privacy was upheld. Comments made included; ‘staff always knock on my door before they come in’, ‘when the staff help me they try to make sure that they do so a s discreetly as possible’. Abbeywood Tottington Limited DS0000008439.V298099.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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents said that they are enabled by staff to engage in social and leisure activities and are able to make personal choices. There was a high degree of satisfaction expressed in respect of meals provision at the home. EVIDENCE: A prominently displayed activities programme was in place that reflected the provision of varied activities daily, occasional entertainers coming to the home and trips out. Residents identified the things they enjoyed and felt they were enabled to participate or not as they chose to do. Residents are consulted at residents meetings about the activities programme. And residents are also of the view that the routines of daily life were as reasonable as possible in a communal living setting – it was evident on the day of inspection a significant number of service users had chosen to stay in bed ‘late’. Residents and their relatives report no unreasonable restrictions to visiting at the home – which can be conducted in communal lounge areas or service users Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 13 bedrooms. Residents are encouraged to maintain contact with local community – e.g. local churches, over 60s club. Residents indicated that they are actively encouraged and enabled to retain as much personal autonomy and make personal choices in their daily lives at the home – many have brought items of furniture to further personalise their bedrooms. Menus were balanced, varied and provided reasonable choices. Three meals a day are provided plus supper. Meals are served in pleasant and appropriate dining areas. Meal times are reasonable and as flexible as they can be in such a setting. The serving of lunch was observed on the day of inspection. This was a hot and substantial meal and staff assisted and served residents their meals appropriately. Residents indicated that they were happy with their food provision – stated that if they did not like what was on the menu on a particular day a reasonable alternative was provided – and they felt comfortable enough to ask for this. Abbeywood Tottington Limited DS0000008439.V298099.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): 16,18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Residents and relatives spoken to said they felt comfortable enough to make a complaint if they felt the need and knew how to do so. Written guidance and training arrangements ensure that staff members have a good knowledge of abuse and protection arrangements and safeguards in place to protect the welfare of residents. EVIDENCE: The complaints procedure was prominently displayed and also is available in the ‘Service users guide’ that is provided for resident’s information. Residents said that any concerns or worries they bring up are dealt with quickly and don’t turn into formal complaints. A complaints log/incident log is maintained. There were no complaints logged since the last inspection (September 2005). The home operates a prevention of abuse policy for elderly persons. In addition, a copy of Bury’s Interagency Abuse procedure is held on site. Staff consulted confirmed that they had received training and were aware of the whistle-blowing policy. Discussion with the manager revealed that she was looking at how to extend and update staff training in this important area of protection. Abbeywood Tottington Limited DS0000008439.V298099.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): 19,20,21,22,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents were happy with the standard of the home’s environment and the comfort it provides. EVIDENCE: The home is well maintained and decorated to a high standard. Communal lounge/dining areas were comfortably and appropriately furnished. Appropriate numbers of bathrooms that are suitably equipped and adapted are available to residents and passenger lifts ensures resident’s can access all areas of the home. 10 resident’s bedrooms were inspected on this occasion. These were clean, well decorated and appropriately equipped and furnished. All bedrooms seen were highly personalised. Residents spoken to were very pleased with their personal accommodation and some had brought in some items of their own furniture to personalise their rooms even more. The home was cleaned to a high standard and free of malodour. Clearly it is important Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 16 that the environment which resident’s live is pleasant and comfortable as well as ‘homely’ as possible. Discussion with residents indicated they were very satisfied with the homes environment. Comments made included ‘the home is always spotlessly clean and there are never any smells’, ‘I brought all these things from my own house’, ‘my mum’s room is always very clean, warm and the bed linen is changed frequently’. Abbeywood Tottington Limited DS0000008439.V298099.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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Resident’s were of the view that staff meet their needs appropriately and staff are subject to an appropriate recruitment procedure that is consolidated by appropriate training when appointed. Although some areas of training need to be updated. EVIDENCE: Inspection of staffing rosters, discussion with residents, the manager and staff indicated that the care needs of the 40 residents at the home on the day of this unannounced inspection were being met appropriately. The home is making progress towards the target of at least 50 of care staff being trained to at least NVQ level 2 in care. At the time of inspection 40 of the care staff had had achieved this qualification. 3 staff recruitment files were inspected. They contained evidence of CRB checks (including POVA first checks), 2 written references, health declarations, criminal convictions declarations, proof of identity, (including a photograph) and application forms with full C.V. Inspection of training records and discussion with staff indicated that they were provided with induction training on commencing employment. There was also evidence that staff had been provided training in moving and handling, fire safety and basic food hygiene and other topics. Whilst it is acknowledged that future training (including a review of induction training) is planned for staff this should be formalised in a Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 18 proposed training programme. As mentioned earlier in this report staff training in the protection of vulnerable adults training is in need of updating. The home has applied for and is hoping to achieve ‘Investors in People’ Status soon. Abbeywood Tottington Limited DS0000008439.V298099.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): 31,33,25,36,38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Abbeywood is being appropriately managed in a way that enables residents, their relatives and staff to feel to feel that they are being supported properly. EVIDENCE: The home manager is registered with the CSCI and is very experienced and qualified in managing the care of elderly persons in a residential setting. The manager is also currently studying for a NVQ4 qualification in management and care and the Registered Managers Award. Residents, relatives, staff and visiting professionals commented positively about the manager being accessible, approachable and very supportive. They Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 20 said their concerns or worries were addressed speedily and appropriately and in a way that made them feel happy to express their views. The arrangements for the management of residents personal allowance monies (where these are managed by the home) were secure and appropriately documented. Records in respect of fire safety equipment, fire drills and fire safety training for staff, the passenger lift, lifting equipment, clinical waste removal and the regulation of water temperatures were inspected. These were found to be satisfactory. A fire safety risk assessment had recently been completed and the inspector was informed that the requirements made following a recent fire safety inspection in June 2006 have been complied with. Accidents at the home were appropriately documented and appear to have been appropriately managed. There is a need to improve the quality assurance and monitoring systems in operation, for example by increasing the use of satisfaction questionnaires with residents, relatives and visiting health and social care professionals. Also regular internal audits to measure the effectiveness of the service provided to residents would also be useful in assessing quality performance within the home. Staff are supervised appropriately in their work and also receive formal supervision on a regular basis. . Abbeywood Tottington Limited DS0000008439.V298099.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 3 3 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 N/a 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 2 4 4 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Abbeywood Tottington Limited DS0000008439.V298099.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. 1 Standard OP18 Regulation 13(6) Requirement Timescale for action 30/09/06 2 OP33 24 3 OP30 18 That the CSCI is informed in writing what arrangements have been made to provide all staff at the home with an update in protection of vulnerable adults training. That the CSCI is informed in 30/09/06 writing what measures have been taken to improve the effectiveness of quality assurance monitoring systems within the home That the CSCI is informed in 30/09/06 writing the outcome of the current review into induction training for all newly employed staff at the home. This should include details of what structured induction training is to be provided at the home. Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 23 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 2 Refer to Standard OP8 OP9 Good Practice Recommendations That a formal moving and handling assessment is conducted for each resident and that this assessment is reviewed at least monthly. That the home review the frequency of how often medication management training is updated for staff. Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Abbeywood Tottington Limited DS0000008439.V298099.R01.S.doc Version 5.2 Page 25 - 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!