Inspection on 05/06/06 for Abbots Lawn

This inspection was carried out on 5th June 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

Abbots Lawn 09/09/05

Abbots Lawn 20/06/05

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 Mrs S Gawley Unannounced Inspection 5th June 2006 08:30 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 Abbots Lawn DS0000014342.V295524.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. Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbots Lawn Address Sylvan Way Bognor Regis West Sussex PO21 2RS 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) 01243 823288 01243 821049 Mrs Susan Rosalind Newman Mrs Susan Rosalind Newman Care Home 37 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (37), Mental disorder, excluding learning of places disability or dementia (6), Mental Disorder, excluding learning disability or dementia - over 65 years of age (37) Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 37 service users to be accommodated at any one time. Service users in the category Dementia (DE) must be aged 50 years or over. Service Users in the category Mental Disorder (MD) must be aged 50 years or over. 9th September 2005 Date of last inspection 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 people 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 DS0000014342.V295524.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 05 06 06. Preparation for the inspection included a review of the documentation on file, a review of the service history and complaints. Information supplied in the pre inspection questionnaire sent to the Commission was also read. The manager was available who facilitated the inspection and made available any documentation requested. Residents and staff were spoken to and their comments are considered in this report. Residents able to express an opinion stated that they are treated with kindness. A visiting district nurse was spoken to and she expressed satisfaction with the manner in which the home is run and the sped of referrals to her service. The home was inspected against the National Minimum Standards and the majority were met in full. There are no outstanding requirements from a recent environmental inspection. This is a well run home, run in the best interests of the residents. The fees charged are £411 to £520 What the service does well: What has improved since the last inspection? There was not anything highlighted at the last inspection for improvement. Abbots Lawn DS0000014342.V295524.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. Abbots Lawn DS0000014342.V295524.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 Abbots Lawn DS0000014342.V295524.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. Prospective residents have the information they need to make an informed choice about where to live. 2. Each resident has a written contract/ statement of terms and conditions with the home. 3. No resident moves into the home without having had his/her needs assessed and been assured that these will be met. 4. Residents and their representatives know that the home they enter will meet their needs. 5. Prospective resident service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Standard 6 is not applicable Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 9 EVIDENCE: A statement of purpose and service user guide was supplied to the commission and is available to residents. Evidence of assessment of need carried out prior to admission, to ensure that the home will be able to meet the service users needs was seen in care plans inspected. Residents spoken could not express an opinion on information supplied to the by the home. Abbots Lawn DS0000014342.V295524.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, The residents health, personal and social care needs are set out in an individual plan of care. 8, Residents health care needs are fully met. 9, Residents, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. 10, Residents feel they are treated with respect and their right to privacy is upheld. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: Three residents were case tracked. The care plans were inspected and were found to be comprehensive showing practices in place to meet the health and personal care needs of each service user. Regular review of the care plans was also evident. A district nurse visiting one of these residents confirmed that the care offered in the home is good and that her opinion is sought as necessary and without delay. Policies and procedures are in place to ensure the safe handling of medicines. Medicines are stored correctly and medicine Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 11 administration charts were mostly up to date with one resident out of date chart not having been removed. Abbots Lawn DS0000014342.V295524.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, Resident find the lifestyle experienced in the home matches expectations and preferences, and satisfies their social, cultural, 13, religious and recreational interests and needs. 13, Residents maintain contact with family/ friends/ representatives and the local community as they wish. 14, Residents are helped to exercise choice and control over their lives. 15, Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: There is an activities coordinator in the home Monday to Friday and a range of activities are offered including karaoke, crafts, musical entertainment, exercises to music and mini bus trips. Two residents have been taken on holiday. Visitors are welcome in the home and this was evidenced in relative surveys seen. Problems experienced by one relative who had cause to complain were discussed with the manager and a resolution has been achieve. The cook was spoken to and menus were seen which offer choice. Pureed diets are served appropriately. It was noted that food was stored in the fridge without being labelled and dated. This was discussed with the cook and the Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 13 rm. The meal seen served was that advertised on the menu and residents were enjoying it. Abbots Lawn DS0000014342.V295524.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, Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. 18, Residents are protected from abuse Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: Policies and procedures are in place on the protection of adults and the registered manager confirmed that staff attended training. There is a complaints procedure in place. Staff spoken to confirmed that they would know the procedure to follow in the event of suspected abuse although, it appears in practice that the registered manager is called to deal with allegations and complaints. A visiting District Nurse stated that she never saw anything of concern in the home but if she did the she would be able to discuss with the registered manager. Restraint was discussed with the rm and another staff member. There is a policy in place and bed rails are used only following risk assessment. The issue of mentally frail Residents climbing over them and being at increased risk was discussed. The registered manager investigated a recent complaint and as the complainant was unhappy with the outcome The Commission decided it should be discussed further today. A satisfactory outcome has been achieved. Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 15 Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 16 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, Residents live in a safe, well-maintained environment. 20, Residents have access to safe and comfortable indoor and outdoor communal facilities. 21, Residents have sufficient and suitable lavatories and washing facilities. 22, Residents have the specialist equipment they require to maximise their independence. 23, Service users’ own rooms suit their needs. 24, Residents live in safe, comfortable bedrooms with their own possessions around them. 25, Residents live in safe, comfortable surroundings. 26, The home is clean, pleasant and hygienic Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home on this occasion was neat, clean and free from offensive odours. Sufficient cleaning and laundry staff are employed to achieve this. The home has recently been extensively refurbished and remains in good decorative order. There are suitable well-decorated lounges and a dining room for residents use. Resident’s rooms are comfortably furnished and personalised. Bedroom doors have locks. Grab rails are in place and sufficient wheelchairs for residents use. Communal shampoos were in use in the bathrooms and this was discussed with the registered manager who stated that the practice will cease. Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 18 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. The numbers and skill mix of staff meets resident’s needs. 28, Residents are in safe hands at all times. 29. Residents are supported and protected by the home’s recruitment policy and practices. 30. Staff are trained and competent to do their jobs Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service EVIDENCE: Staff rota supplied to the commission show adequate numbers of staff on duty. Staffing today was not as listed due to sickness and the deputy was called in for the duration of the inspection. Staff were observed interacting appropriately with residents. Three staff files were inspected and had all relevant documentation in place. Staff training is in place to ensure the health and safety of residents. Abbots Lawn DS0000014342.V295524.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. 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. 32. Residents benefit from the ethos, leadership and management approach of the home. 33. The home is run in the best interests of residents. 34. Residents are safeguarded by the accounting and financial procedures of the home. 35. Residents’ financial interests are safeguarded. 36. Staff are appropriately supervised. 37. Residents’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. 38. The health, safety and welfare of residents and staff are promoted and protected. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 20 EVIDENCE: The registered manager is a Registered Nurse who maintains her registration with the Nursing and Midwifery Council. The home has recently received the investors in people award. Six monthly questionnaires are in place and there is annual audit of this information. Suitable accounting procedures are in place and monies are held securely. Funds are held for three Residents in a communal account and the inappropriateness of this was discussed with the registered manager. She discussed the difficulties experienced in attempting to open accounts for these residents. Suitable training, policies and procedures are in place to ensure the health, safety and wellbeing of Residents and staff. Abbots Lawn DS0000014342.V295524.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 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 2 3 3 3 Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 22 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 OP35 Regulation 20 Requirement The registered person shall not pay any money belonging to any service user into a bank account unless the account is in the name of the service user. Timescale for action 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Abbots Lawn DS0000014342.V295524.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Worthing LO 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 DS0000014342.V295524.R01.S.doc Version 5.2 Page 24 - 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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