Inspection on 09/09/05 for Abbots Lawn

This inspection was carried out on 9th September 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 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 Jennifer Wright Announced Friday 9 September 2005, 10:0am 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 V239052 090905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Abbots 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 37 places Category(ies) of Care Home with Nursing registration, with number of places Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2005 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 V239052 090905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was unannounced, was undertaken earlier in the year. At this inspection the Inspector looked at standards that were not assessed during the previous inspection, as well as any outstanding issues from the last report. The Manager was present throughout the inspection. During this inspection the Inspector toured the building, visited every room, and joined some residents for lunch. As well as talking to Mrs. Newman, the registered Manager, the Inspector spoke to residents, plus two visitors. Staff members were also spoken to on the day of inspection, about how they find working at Abbots Lawn. All the people that the Inspector spoke to were very positive about the home and told the Inspector how much they liked living, working and visiting there. The Inspector examined records of care being provided to residents; as well as records of any accidents, issues, concerns or complaints, to make sure that the residents at Abbots Lawn are being taken care of. Prior to this inspection, residents, their relatives and visitors to the home, were offered the opportunity to complete a short questionnaire where they could make their views on Abbots Lawn known to the Commission for Social Care Inspection. Many people responded, although some residents only answered some of the questions, with all but one stating that they were satisfied with the care provided by the home. At this inspection Abbots Lawn was audited against the National Minimum Standards for Older Persons. All of the elements in each of the standards assessed were met, one was exceeded. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: Abbots Lawn offers the residents who live there, good care, good food and many activities, should they wish to join in. All of the people who were spoken to on the day of inspection responded favourably with regard to the care on offer at Abbots Lawn. The home has recently undergone a total refurbishment, and a large lounge/sunroom has been added to the front of the building. Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 Page 6 The majority of the staff members at Abbots Lawn have worked for Ashton Care a long time, and the Manager informed the Inspector that they do not use agency workers, ensuring that the residents of Abbots Lawn always know their carers. What has improved since the last inspection? 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 H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 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 V239052 090905 Stage 4.doc Version 1.40 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) 3 and 6 The Manager informed the Inspector that prior to moving into Abbots Lawn prospective residents and their representatives are given sufficient information about what the home offers, to enable them to make a choice as to whether or not they want to live there. In addition before moving into the home, people are assessed, by a member of staff, in their own home whenever possible, to make sure they are suitable, and invited for a trial period. In that way people know exactly what they can expect from Abbots Lawn. Abbots Lawn does not offer intermediate care. EVIDENCE: Due to their mental frailty the residents spoken to on the day of inspection were not able to tell the Inspector whether or not they had been given any information about the home, but a visitor did confirm that he had received information all about the home, and that his wife’s needs had been assessed prior to her being admitted. Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 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) 9 and 10 Due to the mental frailty of the people who live at Abbots Lawn, none of the residents are able to administer their own medication. Residents are treated with respect, and their privacy is upheld. EVIDENCE: Records of drug administration are maintained, and the correct procedures, relating to medication, are being adhered to. Mrs. Newman confirmed to the Inspector that staff members administering medication had all received the appropriate training. Locks are provided for residents who, following a risk assessment, are able to use them. One resident told the Inspector that the staff members treat her “like a lady”. Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 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 and 15 The resident’s health, personal and social care needs are set out in an individual plan of care. Residents are encouraged to make decisions about how they live their lives, with assistance as needed. Food is home cooked, with a choice offered. Abbots Lawn has a varied activities programme. EVIDENCE: One visitor spoken to on the day of inspection told the Inspector that they visited the home every week, and that the person they visit was very settled at the home. The Manager informed the Inspector that the home offers a choice of menu, with people able to eat either with other residents in the dining room, or in their own room, or the lounge, should they prefer. On the day of the inspection, the Inspector shared a meal with two residents, who told the Inspector that the food was very tasty, there was plenty of it, and confirmed that there was a always a choice. During the afternoon of the inspection two activity organisers entertained the residents with singing, and in some cases dancing. Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 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) 18 Policies and procedures in the home, plus training for all staff members regarding abuse, ensure that, as far as is possible, the people who live at Abbots Lawn are protected from bad practice. EVIDENCE: Visitors told the Inspector that should they have any concerns at all with regard to how the person they visit, or any other resident in the home, is being treated, then they would talk to whoever was on duty. Staff members confirmed that they were aware of how to address any Adult Protection issues. Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 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) 22 On the day of inspection Abbots Lawn appeared clean and well maintained, and the location of the home is suitable for the residents who live there. The grounds to the front of the property are secure to enable the residents to access them safely. The home was seen to provide a lift, aids, and assisted bathing facilities. EVIDENCE: At the previous inspection there was an issue regarding the provision of footplates on wheelchairs. At this inspection it was seen that all the wheelchairs had footplates. The home has recently been refurbished throughout, and people told the Inspector that they were really pleased with the result. Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 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) 27, 29 and 30 The Manager informed the Inspector that the number of staff employed at any time always exceeds the required number, and that staff training, including NVQ, is ongoing and all training undertaken is recorded on staff member’s files. EVIDENCE: The duty rotas indicated that enough staff are on duty over the 24 hours period to meet the needs of the residents. Staff members told the Inspector that they enjoyed working with the type of people who live at the home. Many of the staff have worked for Mrs. Newman for a long time, and a staff member spoken to on the day of inspection told the Inspector that felt “well supported” by her. People visiting the home on the day of inspection told the Inspector that there always appeared to be enough people on duty to assist the residents when they needed it. The Manager informed the Inspector that they do not use agency workers at Abbots Lawn, ensuring that the residents always know the person who is taking care of them. Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 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) 35 Mrs. Newman, the registered Manager, is a qualified R.M.N, and experienced in working with people with mental health issues. EVIDENCE: The inspector saw that insurance cover is in place to meet the National Minimum Standards. The Manager informed the Inspector that that all residents have family or a solicitor or an advocate to take care of all their financial dealings. Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 Page 15 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x 3 x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x 3 x x x Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 Page 16 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action 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 Good Practice Recommendations Abbots Lawn H60-H11 S14342 Abbots Lawn V239052 090905 Stage 4.doc Version 1.40 Page 17 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. 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