Inspection on 02/06/05 for Abbotsbury

This inspection was carried out on 2nd 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Abbotsbury 12/10/06

Abbotsbury 09/11/05

Abbotsbury 11/10/04

Abbotsbury 06/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE ABBOTSBURY Pettiver Crescent Hillmorton Rugby CV21 4JD Lead Inspector Patricia Flanaghan Unannounced 2 June 2005 12:10pm 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. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Abbotsbury Address 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) Abbotsbury H.E.P Pettiver Crescent Hillmorton Rugby Warwickshire CV21 4JD 01788 565700 01788 551580 Warwickshire County Council, Social Services Department Mrs Wanda Cicholaz CRH Care Home 34 Category(ies) of OP - Old age - 65 Years and over - Number 34 registration, with number of places ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate one person aged under 65 who requires personal care and whose needs can be met by the home. Date of last inspection 11 October 2005 Brief Description of the Service: Abbotsbury is a Local Authority home for elderly people. It provides permanent care, short stays, day care and four beds for use by elderly people on a re-enablement programme. The home is situated on a housing estate in the rugby district of Hillmorton. There are local shops close by, and car parking spaces are available in front of the home. Abbotsbury provides accommodation on two floors, in four units, each of which has its own communal areas. Day care provision, which is not currently subject to inspection, is sited on the ground floor, together with the kitchen, laundry, staff offices and the hairdressing salon. On each floor there are bathrooms and toilets suitable for people with physical disabilities. As well as the staircase there is a shaft lift to the first floor. All the bedrooms have an en-suite lavatory and wash hand basin. The home is staffed over twenty-four hours. It has a management team of a full time manager; a full time assistant manager and four care officers. There is also a part time clerical officer. There are thirty care assistants in total providing day and night time care. The home employs two cooks, a kitchen assistant, three domestics and a laundry assistant. Abbotsbury does not provide nursing care. Residents who require nursing attention receive this from the district nurse, as they would in their own homes. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The following is the findings of an unannounced inspection, carried out on a weekday between the hours of 12.10 p.m. and 5.00 p.m. During the inspection the assessment information and care plans were seen for several residents. Discussion took place with the manager, members of the care staff and healthcare professionals in the intermediate care unit. Conversations were held with residents, a relative and 2 visitors. A tour was made of the building and grounds and some social activities were observed. What the service does well: Abbotsbury offers a good service to older people which is provided by a wellmotivated staff team, who are led by an experienced and committed manager. This takes place in a purpose built environment which is adequately maintained. There is a cheerful atmosphere within the home with a good rapport between residents and staff. The manager and her team have an excellent understanding of the individual needs of their residents which is underpinned by ongoing training. Residents spoken to were very happy with the quality of the care provided and advised that the staff were friendly and caring. Visitors are made welcome and those spoken to were happy with the care provided for their relative or friend. Communal areas within Abbotsbury are domestic in style and ambience. Bedrooms are comfortable and those seen were highly personalised. The manager ensures that sufficient staff are on duty at all times to respond to the needs of the residents. Staff receive the appropriate training required to undertake their role and there are a high number of staff with, or working towards, obtaining National Vocational Qualifications in Care. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 6 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. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 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 ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 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, 3, 5 and 6 Abbotsbury provides clear information to prospective residents and their families to enable them to make a choice about whether or not they may wish to live in the home. Full assessments are carried out on all prospective residents to ensure that their individual needs will be met. Prospective residents and/or relatives have the opportunity to visit the home in order to assess the facilities and suitability. The intermediate care service is well organised with specialised facilities, equipment and staff delivering short term intensive rehabilitation, enabling service users to return home. EVIDENCE: Minor amendments to the Statement of Purpose and Service Users’ Guide have been undertaken since the last inspection. Both documents provide comprehensive information. It was clear from case files seen that residents receive the benefit of a full assessment prior to moving to the home. Assessments are received from social workers and the registered manager or a senior member of staff also carries out her own detailed assessment. Several residents spoken with confirmed that either they or their relatives had visited the home prior to admission. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 9 The home has four rooms allocated on the ground floor for the provision of intermediate care, this is a rehabilitation service which provides support for older people leaving hospital and who are not yet ready or able to go straight home. Health care workers therefore make the majority of referrals for this service. The service is managed by a number of qualified, trained and designated staff, which includes a physiotherapist, nurse coordinator, occupational therapist and a number of care staff employed by the home. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 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 standard(s) 7 and 8 All residents have individual plans of care, which set out their health, personal and social care needs in detail and enable staff to ensure that these needs are met. EVIDENCE: A number of residents’ plans of care were seen at the inspection. These were clear and comprehensive and included risk assessments. Care plans and risk assessments are regularly reviewed and updated. Nutritional screening is undertaken and the majority of residents are regularly weighed. Residents received dental, chiropody care and saw the optician. The home supported residents to attend outpatient appointments. The manager involves the local continence advisor in assessments as required. All residents are registered with local General Practitioners (GP). Residents spoken with felt that their health care needs were being met advising that they saw the dentist, the chiropodist, the optician and GP or District Nurse when necessary. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 11 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 13 Social activities are arranged on a regular basis and particular staff members have taken on the responsibility for organising events. The current arrangements for activities and entertainment are limited and so do not provide adequate recreation or motivation for residents. Residents are able to maintain contact with family and friends as they wish. EVIDENCE: A number of care staff have assumed particular responsibility for organising the social activities in the day care lounge. Residents of Abbotsbury are invited to join in these daily activities, a list of which are available in the reception area. Staff also advise residents each morning of the day’s activities. During the course of the inspection some residents took part in a reminiscence session, but the majority of those participating were people attending the day care centre. Ten residents were spoken with during the inspection visit. A number of residents expressed a wish for more activities and would like more outings, but some residents advised that they did not wish to join in with activities and were grateful that care staff respected this. A copy of the minutes of the most recent residents meeting evidenced that residents would like more outside activities. It was recorded on the minutes that the manager would investigate possible venues residents could attend. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 12 Visitors could visit at any reasonable time and they were made to feel welcome. One visitor advised that he had called early in the morning to take his friend for an outpatient hospital appointment and staff had very kindly given him breakfast. One resident went out of the home regularly with family. The home has both a Methodist service and a Baptist service monthly, to meet residents’ religious requirements. Although food was not inspected on this occasion, a number of residents made very complimentary remarks about the quality of the food. A recent visit from the Environmental Health Office has commended the home for high standards in the kitchen and three members of staff have been invited to attend the Food Hygiene Awards in Rugby Town Hall in June. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 13 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) These standards were not assessed at this inspection. EVIDENCE: ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 14 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, 21, 23,24 and 26 Abbotsbury is generally well maintained and residents live in a safe and comfortable environment. The home is clean and hygienic, with clear procedures in place to control and minimise the spread of any infection. EVIDENCE: A tour was undertaken of the home. All interior areas were found to be clean and generally well maintained. Some bedrooms require re-decoration with torn or faded wallpaper and a stained carpet evident. The manager is aware of shortcomings and has recently undertaken an audit of rooms and submitted this to the County Council for inclusion in the home’s annual refurbishment budget. All bedrooms have an en suite toilet and wash hand basin. The home has five assisted bathing facilities, one of which is an assisted shower. There are sufficient toilets near communal areas. All of the bedrooms at Abbotsfield meet the minimum space requirements of at least 10 sq. meters. Many of the residents have taken the opportunity to personalise their individual rooms and all residents spoken with were pleased with their accommodation at the home. There is a separate sluice facility on each floor. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 15 The laundry was clean and in good order with systems in place to manage dirty laundry. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 16 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 and 30 The home employs sufficient staff to meet the needs of its residents. There is a good training programme in place which ensures that the staff are competent to do their job. EVIDENCE: Staffing has stabilised since the last inspection visit and the majority of staff have either attained their National Vocational Qualification Level 2 in Care (NVQ) or are in the process of taking it. Two care staff have NVQ3, 7 have NVQ2 and 5 are undertaking NVQ2. Recent training undertaken by staff include The Principles of Care, Dementia Awareness, Infection Control, Protection of Vulnerable Adults and Safe Handling of Medication. Mandatory training in Food Hygiene, Moving and Handling, First Aid, Fire training for all staff is up to date. Induction training and Foundation training for new members of staff meet the National Training Organisation standards. On the day of the inspection visit there were six staff on duty in the morning with five staff on duty during the afternoon. The registered manager is supernumerary. There is a good balance within the staff group which includes experienced staff and younger staff who are embarking on a new career. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 17 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 The manager has good leadership skills and has a clear development plan and vision for the home, which she has effectively communicated to the residents, staff and relatives. EVIDENCE: The Registered Manager has considerable experience in managing homes for older people. There are clear lines of accountability within the home. The manager has regular supervision meetings with her line manager and has completed the Registered Managers Award. Observations made and discussions with residents indcated that the manager is very approachable and operates an open door policy. The residents and visitors spoken with advised that they are happy to approach the manager with any problems they might have. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 18 The County Council are in the process of addressing the need for the registered provider or delegated person to visit the home monthly and write a report upon the conduct of the care home. ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 19 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 x 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 x 3 x 3 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x x x x x x x ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 20 Yes 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. 2. Standard 19 33 Regulation 23 26 Requirement The registered provider must ensure that the home is kept in good decorative repair. The registered provider or delegated person must visit the home monthly and write a report upon the conduct of the care home. A copy of this report must be left with the manager and a copy forwarded to the Commission for Social Care Inspection (Time scale of 11/10/04 not met). Timescale for action 31 August 2005 31 August 2005 3. 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 12 Good Practice Recommendations It is recommended that greater effort is made to enable a range of outside activities to take place, visits to local shops, cafes and parks should be facilitated. Details of how the home aimed to ensure service users had opportunity to pursue their interests/hobbies should recorded E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 21 ABBOTSBURY Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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 ABBOTSBURY E53 S41957 WCC Abbotsbury V231254 020605 Stage 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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