Inspection on 20/06/05 for Abbots Lawn

This inspection was carried out on 20th June 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

Abbots Lawn 05/06/06

Abbots Lawn 09/09/05

Abbots Lawn 24/02/05

Abbots Lawn 12/07/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOMES FOR OLDER PEOPLE Abbots Lawn Sylvan Way Bognor Regis West Sussex PO21 2RS Lead Inspector Sheila Gawley Unannounced Monday, 20 June 2005 at 09:00am th 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. 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. Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abbot Lawn Address Sylvan Way, Bognor Regis, West Sussex, PO21 2RS 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) 01243 823288 Mrs Susan Rosalind Newman Mrs Susan Rosalind Newman Care Home 37 Category(ies) of Care Home with Nursing 37 registration, with number of places Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24 01 05 Brief Description of the Service: Abbots Lawn is a care home with nursing, registered with the Commission for Social Care Inspection to provide care for up to thirty seven peoples in the category MD/E (Mental disorder elderly) and DE (Dementia)The establishment is situated in a quiet residential road in Bognor Regis, close to the sea front.. It has recently been extended and upgraded. Mrs S Newman privately owns the service, and is also the registered Manager Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 20/06/05. The registered manager was in attendance. The purpose of this inspection was to establish if the many requirements of the last inspection were met particularly in the environment and health and safety of the residents. The home was inspected, staff, visitors and residents were spoken to and all comments were positive. There have been some problems in the integration of staff from another home and the registered manager is working on the resolution of these issues. There has been a recent adult protection referral and the home has worked well with the local Social and Caring Services to resolve and improve the situation. The home was found to be neat, clean, well decorated and fully furnished. Entrance to the home was clear and the gardens are well maintained. What the service does well: What has improved since the last inspection? What they could do better: An issue regarding the provision of footplates on wheelchairs was highlighted in the recent adult protection investigation. Five out of nine wheelchairs seen today did not have footplates. Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 6 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. Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 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 standard(s) 1,2,4 Prospective residents have the information they need to make an informed choice about where to live. Residents and their representatives know that the home they enter will meet their needs EVIDENCE: There is an up to date statement of purpose and service user guide which gives residents and their relatives up to date information on the facilities in the home. Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 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 standard(s) 7,8 The resident’s health, personal and social care needs are set out in an individual plan of care. Residents make decisions about their lives with assistance as needed. EVIDENCE: Two care plans were inspected and were comprehensive and up to date. The need for monthly review, which is not currently done, was discussed with the registered manager. This would ensure that the plan is constantly updated with the changing needs of residents. Health professionals are consulted, as need dictates. Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 Residents find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents maintain contact with family/ friends/ representatives and the local community as they wish. Residents are helped to exercise choice and control over their lives. EVIDENCE: Residents spoken to stated that the enjoy life in the home and have freedom and choice. One resident goes out most days for a newspaper and another stated that there are activities but he prefers his radio. A Visitor spoken to stated that the home is always welcoming. The social cultural and recreational needs of residents are being met Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 11 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 standard(s) 16,17 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse EVIDENCE: Residents and relatives spoken to stated that their complaints would be listed to and acted upon. There is a complaints procedure in place and all complaints are recorded to ensure this occurs. Residents are protected from abuse as the home follows the West Sussex Social and Caring Services Adult Protection Procedures and staff receive training in this. The manager discussed setting up her own procedures alongside these to ensure that staff are clear as to their role in suspected abuse and these were posted to the Commission following the inspection. The home cooperated with Social and Caring Services in a recent adult protection allegation but one aspect of this is outstanding; the provision of footplates to all wheelchairs. With regard to the health and safety of residents it is a requirement of this inspection that footplates be installed on all wheelchairs. Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19-26 Residents live in a safe, well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable lavatories and washing facilities. Residents have the specialist equipment they require to maximise their independence EVIDENCE: The home was clean, pleasant and well decorated. Access to the well maintained garden was clear and residents were seen enjoying this facility. There are sufficient bathrooms for residents needs and these were well decorated and hygienic thus the physical needs of residents are met. Specialist equipment is provided according to need. There are however several wheelchairs available for use in the home and many are without footplates. With regard to the health and safety of residents it is a requirement of this inspection that footplates be installed on all wheelchairs. Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this occasion. EVIDENCE: Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 38 Residents 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. The home is run in the best interests of residents. The health, safety and welfare of residents and staff are promoted and protected EVIDENCE: The Registered Manager is a Registered Nurse and undertakes training necessary to maintain registration with the Nursing and midwifery Council. She is enthusiastic about the home and the needs of the residents. Residents and relatives spoken to confirmed that the manager is approachable and that the home is run in their interests. The intention to protect the health, safety and welfare of residents and staff is evident by policies and procedures and the provision of staff training; these records were available. The many requirements relating to health and safety at the last inspection were met with Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 15 one identified during the adult protection investigation remaining unmet which can present a risk to health and safety. Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 x 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 2 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x 3 x x x x 2 Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 17 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 22 Regulation 13(5) Timescale for action The registered person shall make 31 07 05 suitable arrangements to provide a safe system for moving and handling srevice users. Requirement 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. Refer to Standard 7 Good Practice Recommendations Service users plan to be reviewed by care staff at least once a month and updated to reflect changing needs. Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Abbots Lawn H60-H11 S14342 Abbots Lawn V232182 200605 Stage 4.doc Version 1.30 Page 19 - 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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