Inspection on 27/09/05 for Abbotsfield Residential Care Home

This inspection was carried out on 27th 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

Abbotsfield Residential Care Home 30/10/06

Abbotsfield Residential Care Home 13/02/06

Abbotsfield Residential Care Home 05/01/05

Abbotsfield Residential Care Home 02/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbotsfield Residential Care Home 373 Abbey Road Barrow-in-furness Cumbria LA13 9JS Lead Inspector Marian Whittam Unannounced Inspection 27th September 2005 1:00 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 Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Abbotsfield Residential Care Home Address 373 Abbey Road Barrow-in-furness Cumbria LA13 9JS 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) 01229 829496 Mr Jayendra J Patel Mrs Lata Jayendra Patel Mrs Susan Procter Care Home 30 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (30) of places Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 30 older people (OP) of whom 5 may have dementia (DE(E)). 5th January 2005 Date of last inspection Brief Description of the Service: Abbotsfield is care home registered to provide care for thirty older people, five of whom may have dementia. The home is a detached Victorian property with a modern extension and has been owned by Mr. Jayendra Patel and Mrs Lata Jayendra Patel since 1996. The home is in a residential area on the outskirts of Barrow in Furness about a mile from the town centre, the shopping centre, banks and general amenities. There is good access by road into the surrounding areas and the home is on a bus route to Barrow and the surrounding towns. The home has well kept gardens that resident’s use and this has seating. There is a small car park for visitors and staff at the side of the building. The home has 3 sitting/dining rooms for service users on the ground floor and a lounge on the first floor used largely by who want to smoke. The home has appropriate kitchen and laundry facilities There is a main stair lift and two smaller chair lifts within the home linking the floors. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 5 hours on 27th September 2005. The inspector looked around the home, talking with residents in groups in the lounges and in their bedrooms and also looking at care plans, records required by the regulations and supporting documentation. Policies and procedures documents were looked at. A visiting relative was spoken with and nine residents were happy to talk about their life in the home. What the service does well: What has improved since the last inspection? The owners have continued to improve the environment for residents providing new carpets in 3 bedrooms and painting and decorating as well. Residents were pleased with improvements to their rooms. A major improvement since the last inspection is the installing of a new sluice and disinfector for cleaning commode pans and urinals and improving the walls and floors of the sluice room for easy cleaning. This has improved the infection Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 6 control processes in the home for resident’s health and welfare and made it easier for staff to maintain a clean and hygienic environment. The home has introduced a scheme for residents and families to reserve the first floor quiet lounge if they want somewhere for privacy for family meetings and visiting children to spend time as a family. 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. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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 Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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): 3,4 and 5 A satisfactory assessment and care planning system and information from other agencies was in place to provide staff with the information they need to meet resident’s needs when they come in. EVIDENCE: Individual care plans showed that new residents needs had been assessed before and following admission and their individual care plans developed from this. The home manager or senior staff did an individual assessment of needs to ensure that the home could meet them before residents came to live there. Where applicable social services care management plans were in place as well. Where appropriate other care agencies and professionals were involved in providing information and making assessments of the needs to be met. The assessment records and evidence of consultation with families suggests that manager takes care to make sure that the number of residents admitted with higher levels of dependency does not get too high and affect the care given to the other residents. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 9 All residents had one month’s trial living in the home followed by a documented review to make sure the home suits them. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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): 7,8 and 10 The care planning systems in place provide staff with the information they need to satisfactorily meet resident’s personal and healthcare needs with evidence of good working with other agencies. . Personal support was being offered in a way that promoted and protected resident’s dignity and independence. EVIDENCE: All residents have an individual plan of care that sets out their health, personal and social care needs. Changes identified at evaluation and in the progress notes had been incorporated into care plans and needs assessments and the plans were resident focused. There was evidence of prompt referral to health care and support services and good working with other agencies and the actions taken following their involvement. A resident said that they had seen the doctor in their room when they had a bad chest and that the doctor was called when they wanted him. A resident said, “the staff are wonderful and will do anything for you”. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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 the following standard(s): 12,13, 14 and 15 A programme of activities and social events is provided that takes into account residents preferences. Choices about daily life and routines, contacts with family, friends and the local community were being promoted and maintained according to the residents recorded wishes. Dietary needs are catered for with a varied selection of nutritious food that meets resident’s special dietary needs and individual choice. EVIDENCE: The home provides some group and one to one activities and entertainments, social and religious events organised by senior care staff. Resident’s interests are recorded and individual abilities and capabilities considered in planning and carrying activities. Residents told the inspectors that they could chose to take part or not as they preferred and one said, “to tell you the truth I prefer to be on my own” but said they enjoyed the brass band that had recently been in the home. Other residents said that they were looking forward to going to a Music Hall evening locally next month and went out for walks or trips to the local Coast Road with staff and they enjoyed. Two residents were out playing bingo. A relative said that there was not always a lot going on in the afternoons but thought that was because it was hard to get some residents to join in and a lot were getting frailer. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 12 Residents said that they could come and go as they pleased, take their meals where they preferred, go out and have meals kept for them and see who they wanted to. There was a quiet lounge that could be reserved for families to have more privacy. Several of those spoken with thought the quality of the food provided was “very good but that some people are very picky”, another thought it was “ quite good but I am a fussy eater” and a small number spoken with felt the food was “alright”.” All spoken with agreed there was a choice of food each day and that there was plenty to eat and drink. The menus, displayed in the foyer, showed a varied diet. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 The home has a satisfactory complaint system that residents were aware of. Residents felt confident that the manager would listen to them and act on any concerns effectively. There were adult protection procedures in place and staff had received training on abuse to make sure they know what to do to protect residents. EVIDENCE: The home had a clear complaint procedure, displayed in the home. There is a complaints logging system that records all complaints received and the details of the investigation its outcomes and the actions taken. Information on advocacy was provided for residents in the home and obtained for anyone who asked, although care plans indicated most people had family members to act on their behalf. The home has not received any complaints since the last inspection. Residents spoken with felt confident that any complaints or issues they raised would be dealt with quickly. One resident said that the manager was around all day and they would tell her first if they had any complaints. There were adult protection procedures and policies in place to protect vulnerable adults and current multi agency guidance for staff. Training on abuse and adult protection has been provided on this for staff. The home had procedures in place for dealing with verbal and physical aggression and gifts. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22,23,24 25 and 26 The decoration and furnishing in the home was of a satisfactory standard, with evidence of regular maintenance and a programme of redecoration. The home provides a clean, comfortable and homely environment for residents to live in and had the equipment needed to promote mobility and independence. EVIDENCE: The home is well maintained with regular, planned maintenance and a satisfactory standard of decoration throughout that provides a clean, tidy and homely environment for residents. The addition of a new sluice and disinfector has improved hygiene and infection control for residents. There are ample lounge and dining areas that are well furnished with good lighting. Residents had their own possessions in rooms, including shared rooms that made them more homely for them. Three bedrooms are currently shared and residents had been consulted about this choice and residents had been offered single rooms when they were vacant and rooms on the ground floor following reassessment of their mobility needs. There was evidence that where Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 15 residents were in shared rooms had made a positive choice to share, one with a friend and another because they wanted company. Outside the gardens are attractive, well kept and have seating for residents. Residents said that they used the garden in the summer months, and enjoyed sitting out. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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 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, 28, 29 and 30 The numbers and skill mix of care staff on the rotas and on duty during the visit were adequate to be able to meet resident’s needs and had good training and recruitment practices to safeguard residents. EVIDENCE: Staff rotas and observation during the visit suggested that the home had a stable staff group providing continuity for residents and enough staff on duty to provide adequate personal care during the day and night and at busy times of the day. Staff spoken with enjoyed their work and morale was good. There are a high percentage of carers with NVQ level 2 qualifications and some staff are doing NVQ 3. The home provides appropriate inductions for staff and has an annual training plan and regular updates and supports staff to attend training. Recruitment procedures and practices were good with all required checks having been undertaken for staff. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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 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, 32, 35, 36, 37 and 38 The manager and owners have a clear vision for the home, which is effectively communicated to residents and staff. This results in clear leadership in the home with staff demonstrating an awareness of their responsibilities. This results in practices that promote the best interests of residents and safeguards their health, welfare and financial interests. EVIDENCE: Residents spoken to said their views and opinions were asked for and acted upon to affect the way the home is run and the activities they take part in. They confirmed they saw the manager most days and felt happy to raise issues with her. The manager was clear about her role and had a good working relationship with staff and residents. Residents made positive comments about the staff team. One resident said they “deserve a medal for all they do” and another that, “everyone is pleasant and obliging”. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 18 Formal staff supervision was in progress but the home needed to make sure this was always recorded and done regularly. Records required by regulation were in good order and securely kept. The home had systems in place to safeguard residents monies and an audit had been carried out independently on the homes financial practices and procedures with residents monies and this had been satisfactory. Records and servicing contracts indicated that the home had systems, training and practices to promote resident health and safety. There was evidence that appropriate testing and cleaning was being carried out to reduce the risk Legionella and water temperature testing to reduce the risk of scalds to residents. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 X X 3 2 3 3 Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 20 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. 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 OP36 Good Practice Recommendations Staff supervision should be done regularly and recorded. Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Abbotsfield Residential Care Home DS0000022579.V249693.R01.S.doc Version 5.0 Page 22 - 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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