Inspection on 05/07/05 for Abbingdon House

This inspection was carried out on 5th July 2005.

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

Abbingdon House 28/08/08

Abbingdon House 04/07/07

Abbingdon House 16/05/06

Abbingdon House 17/11/05

Abbingdon House 22/11/04

Abbingdon House 11/05/04

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Alfred House Residential Care Home

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Thames House

Creative Support

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Abbingdon House 43 Thornton Road Bebington Wirral CH63 5PR Lead Inspector Mr Les Hill Unannounced 5 July 2005 9:30 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 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 and Care Homes for Adults 18 – 65*. 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. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Abbingdon House Address 43 Thornton Road Bebington Wirral CH63 5PR 0151 608 6722 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mersey Link Limited trading as Fairway Care CRH PC 14 Category(ies) of MD(E) - 12 registration, with number MD - 1 (male) of places MD - 1 (female) Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22/11/04 Brief Description of the Service: Abbingdon House is a residential home providing care and support to 14 people over the age of 65 years who have a mental disorder. The home is located in the Bebington area of Wirral and is close to local shops, post office and pubs and is a short bus ride from Birkenhead town. Outside space for residents consists of a garden to the front of the home and a patio area to the rear. Most of the rear garden is used to provide off-road parking. Accommodation is provided on two floors with access to the first floor provided through stairs and a passenger lift. Most of the accommodation is provided in double bedrooms. Downstairs there is a large lounge/dining area and a separate small smoking room. Toilets and bathrooms are provided on both the ground and first floors. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Abbingdon House took place on Tuesday 5th July 2005 over a period of four hours. The inspector spoke with the owner, two members of staff on duty and with four of the residents. The inspection was undertaken as part of the Commission’s requirement to visit and report on each registered care home on two occasions each year. What the service does well: What has improved since the last inspection? Assessments now include information about past and present mental health needs. Resident’s care plans are more detailed and are signed by the member of staff who prepares them. The GP has confirmed the list of homely remedies for individual residents. Staff have been provided with training on the POVA regulations and on mental health issues. Training opportunities have been identified to deal with first aid and food hygiene. Residents have completed a satisfaction survey. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 6 Cleaning materials are being kept locked away in an appropriate storeroom; toiletries are being kept in resident’s bedrooms and certificates to confirm the safety of equipment at the home have been provided. Maintenance matters identified have been dealt with and the discarded fridge and freezer removed from the car park. Staff meetings were being held as were meetings with 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. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 and 5. The home has a statement of purpose and service user guide that need slight amendment. Assessment documentation has been improved since the CSCI inspection in November 2004. It is now more evident that care needs are assessed and that the home has better information on which to make a decision about placement. EVIDENCE: The homes Statement of Purpose had been amended to include more recent changes in the home but it needs some additional information to include the number relevant qualifications and experience of the staff working at the home, any criteria used for admission to the home and the number and size of rooms in the care home. In amending the document the manager should Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 9 ensure that all matters identified in Schedule 1 of the National Minimum Standards, Care Homes for Older People are included. The inspector examined three residents care files and noted that there was a signed contract/terms and conditions of residency placed on each of them. The assessment format evidenced on the files contained information about the resident’s current needs and past history and included information about their mental health. This indicated that some progress had been made in following up the requirements from the previous CSCI inspection. Abbingdon House has been providing care and support to older people with mental health needs for approximately ten years and rarely carries a vacancy. The improvements to the assessment and care planning arrangements and to other areas of work in the home, that are reported on later in this report should provide better evidence of the home’s capacity to meet the needs of residents who fit the criteria for admission. It was evident from discussions with the deputy manager that the home has identified residents for whom it can no longer provide safe care and has supported their move to a more appropriate placement. The deputy manager described the home’s preferred arrangements to introduce a new resident to the home that include pre-admission visits. Intermediate care is not provided at Abbingdon House. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and10. Improvements had been made to the care planning arrangements but risk assessments were incomplete. EVIDENCE: Care plans were evidenced on the three residents files sampled during the inspection. The care plans identified the main areas of need that were to be supported by staff at the home and the ways in which support should be provided. A key worker system is in place and key workers draw up the plans Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 11 of care from the assessments. Improvements to the care plans had been made since the CSCI inspection in November 2004. Risk assessments had been drawn up and were included with the care planning documentation. The inspector and the deputy manager identified one or two areas of risk for individual residents not covered in the files. The next step for the new manager will be to ensure that all areas of risk are covered by these assessments. Care plans and risk assessments contained written comments to show that they had been reviewed. However, it would be helpful to introduce a clearer system for recording the reviews and any changes to the care plan that may need to be made. Newly admitted residents who are unable to be supported by their own GP are registered with a local GP practice that is supportive to the home. The deputy manager told the inspector that the home benefits form good support provided by district nurses, CPN’s and the Consultant Psychiatrists. An optician visits the home to attend to any sight problems and a local dentist provides surgery and domiciliary support for dental health care needs. A chiropodist visits six weekly and residents pay a small charge. Continence products are provided when they are assessed as being needed. None of the current residents are able to self medicate. An examination of the MAR charts and medicines kept in the home confirmed that they were being managed appropriately. A Homely remedies list for each resident has been confirmed by the GP. Residents who spoke with the inspector were complimentary about the staff and the ways in which care and support was being provided to them. During a tour of the building the deputy manager knocked on all doors before entering a room. The home’s policies and procedures support the principles of dignity and respect for residents in the home. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Some activities were being provided within the home. Meals provided were varied and nutritious and were appreciated by the residents. EVIDENCE: Most of the residents need to be supervised if they leave the home. A programme of activities was displayed in the office and again in the dining room. However, the list is flexible and the activities did not always take place. An Activities Organiser is employed at the home on two mornings each week and will respond to the needs of residents. At other times care staff on duty are responsible for the encouragement of social interaction. One of the Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 13 residents told the inspector that they look out of the window all day. The inspector is aware of the resident’s capacity to fully recognise the events that are occurring in their daily life but would encourage a greater emphasis on activity in the home. Three of the residents attend a day centre on two days each week. One of the residents is supported with funding by the placing authority to receive one-toone support at identified times during the waking day. During the course of this inspection a member of staff came into the home and took him out. The owner told the inspector that additional staff are provided when an outing from the home is arranged. The deputy manager told the inspector that residents meetings are held in the home, ‘though she was unable to find a record of the minutes from the meetings. Records of any meetings should be kept to inform residents, their relatives, staff and the Commission of what has been discussed and what has been agreed. A number of the residents have visitors who are welcome at any time. A visitor arrived at the home as the inspector was leaving. She said that her relative was being well looked after by staff at the home. A whiteboard in the dining room informed residents of the day’s menu. Those residents who didn’t like what was being served or who wished to have something different were being catered for. The inspector spoke with four residents after they had eaten their lunch. All of them were happy with the variety, quantity and quality of the food provided. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and 18. Appropriate policies and procedures are in place to deal with complaints and to manage any adult protection concerns. EVIDENCE: The home has a complaints policy and procedures in place that are available through the Statement of Purpose and the Service users guide. There have been no complaints made to the home or to CSCI in the past twelve months. Residents are included on the Electoral Register and those who choose to vote in local and national elections are supported to do so. The home has a copy of Wirral’s adult protection policies and procedures and has a “whistle blowing” policy for staff. Most of the staff have attended a training event organised by Wirral Borough Council to explain the POVA arrangements. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24 and 26 The environment was being well maintained. EVIDENCE: Many of the matters raised in the CSCI inspection in November 2004 have been addressed. On the day of this inspection the home was tidy, clean and well cared for. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 16 The cleaning supplies cupboard was locked and personal toiletries are now stored in resident’s bedrooms and taken with them to the bathroom. A discarded fridge and freezer that were in the garden area at the time of the last inspection have been removed. Communal areas in the home were well decorated with comfortable domestic style furniture. Carpets were fitted throughout the home except for the bathrooms and WC’s where new flooring has been laid. Most of the bedrooms are shared. Curtaining provides privacy for washing and dressing and the rooms are large enough to accommodate two beds. Appropriate wardrobes, drawers and chairs are provided for each resident. Residents who share a room and who spoke with the inspector said that they didn’t mind sharing. The home carries few vacancies. The deputy manager told the inspector that prospective residents are advised when seeking a vacancy if the available place is within a shared room. Ramps and handrails are provided around the home and there are assisted bathing facilities on both the ground and first floors. Risk assessments had been undertaken to determine whether individual residents would be able to manage a key to their bedroom door. Those who wished to have a key and are considered to be able to manage the locks on their bedroom doors are provided with one. One of the bedrooms was locked at the time of this inspection and the resident had gone out from the home. The homes kitchen was clean and tidy, Food was being prepared at the time of this inspection. The temperature of fridges and freezers was being recorded on a daily basis. The staff toilet is accessed through the kitchen. This is not ideal but alternate access can only be gained by going around the outside of the building. The Environmental Health Officer has been made aware of the situation and there are staff notices advising them to wash their hands and not to touch the work surfaces as they pass through. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 Staffing levels were being maintained at an appropriate level for the current resident group. Staff training opportunities had improved since the CSCI inspection in November 2004. EVIDENCE: The staff rota at the home allows for two carers to be on duty during the waking day and for one wakeful and one sleeping member of staff at night. In addition the placing authority has agreed to fund additional staff hours to support one of the residents who has special needs. At the time of this inspection the member of staff contracted to work with him had taken the resident out from the home. The homeowner told the inspector that he funded additional care staff for outings from the home and would ensure that additional staff hours were available to escort residents to hospital appointments. The homeowner should keep the staffing arrangements under constant review to ensure staffing levels are sufficient to meet the changing needs of residents. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 18 The deputy manager told the inspector that four of the eight care staff employed to work at the home had an award at NVQ level 2 and that three other care staff were undertaking the training course to gain their own NVQ award. At this point in time the home has achieved the standard of 50 care staff with an NVQ level 2 in care. Agency staff are not used in the home. The home’s recruitment and selection procedures were not tested on this inspection. They will be examined at the next announced inspection. The inspector was informed that all new staff are expected to follow a programme of induction training. The inspector was shown a copy of the induction, training checklist. Since the CSCI inspection in November 2004 staff have been provided with training in mental health matters and in the management of medicines. They have also received some training in Infection Control. The deputy manager had received a leaflet from Wirral Borough Council offering training in first aid and food hygiene and as this is an area of training need in the home she was hopeful that places would be offered to staff at Abbingdon House. The deputy manager identified that staff at the home need to have a training update in manual handling. The owner should ensure that basic essential training in manual handling, first aid, food hygiene and fire safety are provided and updated on a regular basis. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36 and 38 A new manager has applied to CSCI for registration. Staff appraisals were under way but it was not evident that formal staff supervision was taking place Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 20 and being recorded. Safety certificates had been provided for essential services in the home. EVIDENCE: The homeowner has appointed someone to manage the home and an application for the status of Registered Manager has been submitted to CSCI. The manager was on holiday at the time of this inspection. There was evidence on two of the residents files inspected that the homeowner has carried out a satisfaction survey. The files contained a completed questionnaire that asked the residents for their views on the running of the home. Those residents who were able to respond had been encouraged to do so. It was not clear what the homeowner had done with the information and this will be followed through on the next inspection. Staff meetings were being held in the home although the minutes did not give sufficient information to reflect any discussion or outcome on the matters raised. The home’s Employer Liability Insurance Certificate was displayed in the entrance to the home. The management of resident’s moneys will be explored at the next announced inspection. The inspector viewed evidence that staff appraisals were being undertaken. Blank sheets to record formal staff supervision sessions were available but there was no real evidence to confirm that supervision was being provided bimonthly. The inspector was able to confirm that the following safety certificates were in place: Gas safety Lift servicing Fire equipment Electrical safety 17.05.05 29.06.05 18.04.05 02.12.04 There was no evidence to confirm that small electrical appliances, including resident’s personal electrical equipment, had been PAT tested. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 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 2 3 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 3 3 3 3 3 3 3 Score Standard No 7 8 9 10 11 Score 2 3 3 3 x Standard No 27 28 29 30 2 3 x 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 3 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 2 32 x 33 3 34 x 35 x 36 2 37 x 38 3 Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 22 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 OP1 Regulation 4 Requirement Timescale for action 31/08/05 2. OP7 13(4) The homes statement of purpose should contain all matters identified in Schedule 1 of the National Minimum Standards, Care Homes for Older People. The manager should ensure that 31/08/05 risk assessments identify all risks for individual residents. 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 OP7 OP12 OP14 OP27 OP36 Good Practice Recommendations The manager should ensure that reviews of risk assessments are recorded more clearly. The manager should ensure that activities are provided to stimulate and maintain the interests of all residents in the home. The manager should keep detailed records of the agenda, attendance and outcomes from residents meetings. The manager should routinely monitor the needs of the resident group to ensure staffing levels remain appropriate. The manager should ensure that staff are provided with F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 23 Abbingdon House 6. OP36 one-to-one professional supervision not less that six times each year. The supervision should be recorded to identify the matters discussed and any follow up actions to be taken. A copy of the notes should be given to the member of staff. The manager should keep detailed records of the agenda, attendance and outcomes from staff meetings held in the home. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Liverpool Area Office 3rd Floor 10 Duke Street Liverpool, L1 5AS 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. Abbingdon House F52_F02_s18851_AbbingdonHse_v236692_050705_Stage 4.doc Version 1.40 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. 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