Inspection on 10/01/06 for Abbi Lodge

This inspection was carried out on 10th January 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

Abbi Lodge 06/03/08

Abbi Lodge 16/10/06

Abbi Lodge 10/11/04

Abbi Lodge 14/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbi Lodge 13 Clifton Road Weston Super Mare North Somerset BS23 1BJ Lead Inspector Patricia Hellier Announced Inspection 10th January 2006 09:00 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 Abbi Lodge DS0000008144.V270468.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. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Abbi Lodge Address 13 Clifton Road Weston Super Mare North Somerset BS23 1BJ 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) 01934 642251 NONE Mrs Lorraine Mutch Mrs Rita Joyce Ann Crabtree Care Home 7 Category(ies) of Old age, not falling within any other category registration, with number (7) of places Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That Rita Crabtree completes Registerd Manager`s Award by December 2006 12th July 2005 Date of last inspection Brief Description of the Service: Abbi Lodge is a small residential care home registered for seven older persons. The accomodation in this home is on two floors with a stair lift for easy access to the first floor. All rooms have vanity units and are well decorated to residents tastes It is on a quiet residential road not far from the sea front with local shops and amenities within reasonable walking distance. The building is an older property and its decoration and furnishings give it a strong sense of the house being a family home. Dedicated sitting areas at the front, and a well kept garden at the back, of the property allow for good weather activities outside. Garden furniture is provided. Provision is made within the home for a variety of activities and outings which also enable close links with the local commumity to be maintained. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over four hours on 10 January 2006. The Registered Manager, Rita Crabtree, and the provider Lorraine Mutch were present during the inspection. All residents and members of staff on duty also took part in the inspection. Before the inspection the information about the home was received from the pre inspection questionnaire and comment cards from relatives and residents. All 6 of the 6 residents living here returned cards and said they like living at the home. One comment “its home from home”. Other comments were “The care and staff here are excellent, considerate and compassionate”. “There are a number of activities we can do and are arranged for us”. Of the 4 relatives cards returned all felt that their relatives were well looked after and said “staff always make us feel welcome”. The inspector looked around the whole of the building and inspected a number of records. The inspector spoke to 6 of the residents,(one being in hospital at the time) 2 relatives, the manager and provider. All people spoken with told the inspector that the home “is very friendly”, “we are like one family, and there is always some activity if you want to join in”. Residents were observed enjoying different activities in the lounge. What the service does well: What has improved since the last inspection? A seventh room has been registered to provide an extra facility for respite care or long-term residency. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 6 The requirements and recommendations from the last inspection report have been fully actioned for the benefit of residents. 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. Abbi Lodge DS0000008144.V270468.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 Abbi Lodge DS0000008144.V270468.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): 2,4,5 The home’s assessment process is thorough and ensures that it is able to meet residents’ needs. The home encourages prospective residents and their relatives to visit the home prior to admission. Clear Terms and Conditions of residency are provided for the benefit of residents and their relatives. EVIDENCE: All residents were aware they had a contract of residency and were happy with the provision that they receive. On inspecting the Terms and Conditions of residency document it does not state the room to be occupied or the amount of fees to be paid. This does not provide clarity of provision purchased for residents or relatives. Care needs are well met through a full assessment process that includes all the elements listed in the standard, and where appropriate Social Services assessment. Residents stated that there needs are well met. The most recent resident said, “I am impressed”. Prospective residents are encouraged to visit the home prior to taking up residency. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 9 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 Residents’ personal and social needs are met with careful attention to detail. The systems for the receipt, monitoring and administration of medicines, are robust and provide the necessary safeguards for residents. EVIDENCE: All the residents who sent in comment cards or were spoken to said that they were well cared for. Staff were observed to be attentive and proactive in meeting needs e.g. when visitors arrived for one resident who wished to offer them coffee. Three care records were inspected. All contained a Social Services care plan and a checklist of needs, but did not contain a copy of the homes own care plan stating residents needs with actions to meet the needs and outcomes. Risk Assessments for falls and other risks in the home, had been completed. These clearly stated actions to minimise risk and outcomes for the benefit of the resident. Records showed that care plans are reviewed regularly. Since the last inspection the Monitored Dose System of medication administration has been implemented for the safeguarding of residents. The system for the receipt, storage and administration of medicines is now robust and provides safeguards for residents. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 10 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 Residents are happy with their lifestyle at Abbi Lodge and are able to make choices and follow their own interests. Visitors are welcomed at any time and activities with the local community are enabled. Residents are offered opportunity to exercise choice whenever possible EVIDENCE: Resident told the inspector that they can see their visitors at any time. Relatives were seen popping in during the course of the inspection and being welcomed by staff. One relative said, “I feel quite happy coming here and the staff are very good to me”. The inspector noted that residents were involved in the life of the home, e.g. helping in the kitchen to prepare the vegetables for lunch. The home has a dog ‘Daisy’ and she brings obvious pleasure to residents and visitor alike. Residents told the inspector that tea was offered to visiting relatives and friends and this was observed. Comments made by relatives indicated that they were made welcome; “there is always a warm welcome when I visit”. A friendly banter was evident between staff and residents throughout the inspection. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 11 During the inspection staff were observed offering choice and enabling residents to make choices in all aspects of daily living. Residents told the Inspector that they feel they are actively encouraged to follow their preferred routine and to remain as independent as possible Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 12 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 Residents are confident that they are listened to and their requests acted upon. Residents are protected from abuse by knowledgeable and competent staff EVIDENCE: The home has a detailed complaints procedure that is well displayed and all residents have a copy of. There have been no complaints and residents stated that if they were not happy about anything they would speak to the manager. Staff and residents spoken to, say the manager is very approachable and understanding. One service user said ‘I’ve nothing to complain about, it’s the best home in the area’. The home has a copy of the North Somerset ‘No Secrets’ Guide. A procedure for responding to allegations of abuse is available and staff were fully aware of it. Since the last inspection staff have received update training in recognising and dealing with situations of abuse. Three residents said, “The staff are very kind and take time”. “I can’t fault them”. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 13 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): 19,23,24,25,26 Residents are provided with safe, homely and comfortable surroundings. The home has suitable equipment to maximise resident independence. Robust Infection control practices are followed. EVIDENCE: The property is well maintained, with homely and comfortable communal spaces. The living accommodation is well decorated and homely. Residents’ rooms are personalised and comfortable. Since the last inspection another room has been added. All residents said they “liked their rooms very much” and told the inspector that they can adjust the temperature according to their wishes. The home was clean and free from offensive odours throughout. The laundry facilities were well organised with impermeable and washable flooring and walls, to maintain cleanliness and prevent the spread of infection. Staff interviewed and observed demonstrated good understanding of Infection control procedures and practices and maintained a clean and hygienic environment. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 14 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): 27,29 The numbers and skill mix of competent staff are sufficient to meet residents’ needs. The procedures for the recruitment of staff are robust and provide the necessary safeguards for residents. EVIDENCE: Residents spoken to said that the staff were kind and caring and always there to help. During the visit staff were observed spending time with residents and requests were answered quickly. The feedback from relatives comment cards is “the staff are excellent”, “caring and compassionate”. Feedback from comment cards and observations on the day indicate that staffing levels are sufficient. Staff appeared to be “resident centred” in their approach’ wanting to get it right for residents; one commented “its their home, their care”. Recruitment practices for new staff employed are satisfactory. Three recent recruitment files were checked. Application forms, references and CRB checks were evident. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 15 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): 31,35,36,38 The manager provides clear leadership and guidance to staff to ensure residents receive consistent care in a safe environment. Health and safety issues are monitored in the home to ensure that issues are identified and addressed where they arise. EVIDENCE: The manager is now registered with the Commission and is studying to complete her Registered Managers Award qualification. The manager gives clear leadership, guidance and direction to staff. Relatives and staff stated that the manager is good at her job, approachable and one relative said she ‘can’t do enough’, ‘she is always helping.’ Residents feel the manager is approachable, available and seeks to ensure all their needs are met. Residents’ pocket monies held by the home were inspected and found to be accurate and to have clear records with two signatures for any transactions. Thus providing good safeguards for resident’s monies. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 16 Supervision for staff has been implemented since the last inspection. Records seen showed evidence that care practices for residents and training needs were discussed. Records inspected indicated regular safety and fire checks are carried out. Staff spoken to confirmed that regular fire instruction and drills had taken place. Some fire doors were seen to be ill fitting and thus not providing the safeguards required. The inspector recommended advice is sought from the Fire Safety Officer and a Fire Risk Assessment of the building completed. The home did not have a current electrical wiring certificate ensuring the safety of the system for the protection of residents. Hot water outlets throughout the home are not thermostatically controlled to reduce risk of burns and scalds. This is recommended for the protection of resident from potential harm. There were no records weekly temperature checks. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 17 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 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 3 X 2 Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 18 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. 1 Standard OP38 Regulation 13.4 Requirement To make sure that all hot water outlets to which residents have access deliver water at a temperature of 43°C Timescale for action 12/03/06 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 3 4 5 Refer to Standard OP2 OP7 OP38 OP38 OP38 Good Practice Recommendations To revise Terms and Conditions of residency document to show room to be occupied and amount of fees to be charged. To implement the homes own care plans for all residents. The fitting of thermostatic valves to all hot water outlets to which residents have access. To obtain a current certificate of safety for the electrical wiring in the home To seek advice from the Fire Safety Officer regarding illfitting fire doors. Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Abbi Lodge DS0000008144.V270468.R01.S.doc Version 5.0 Page 20 - 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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