Inspection on 15/08/07 for Abbotsford

This inspection was carried out on 15th August 2007.

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

Abbotsford 04/09/06

Abbotsford 06/02/06

Abbotsford 16/08/05

Abbotsford 07/02/05

Abbotsford 18/10/04

Abbotsford 22/03/04

Abbotsford 01/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Abbotsford 7 Bracken Road Southbourne Bournemouth Dorset BH6 3TB Lead Inspector Marion Hurley Key Unannounced Inspection 15th August 2007 10:00 DS0000004002.V342566.R01.S.doc Version 5.2 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 DS0000004002.V342566.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 Adults 18-65. 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. DS0000004002.V342566.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbotsford Address 7 Bracken Road Southbourne Bournemouth Dorset BH6 3TB 01202 417847 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) wells4269@fsnet.co.uk The Stable Family Home Trust VACANT Care Home 8 Category(ies) of Learning disability (8) registration, with number of places DS0000004002.V342566.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th September 2006 Brief Description of the Service: The registered service provider is The Stable Family Home Trust [S.F.H.T] a registered charity that provides residential care, a day service and related services for adults with learning disabilities. The day and residential services are interdependent with support from specialist staff at the day service being available to the staff and service users in residential care services to provide training, guidance and help with among other things, issues such as employment; risk assessments and personal relationships. Current residential care charges are £427 per week. However, this does not include day care provision, which is charged separately. The home is located in the residential area of Southbourne, within walking distance of the local amenities and cliff top. Local amenities include shops, a post office and places of worship. Public transport is readily available and Bournemouth town centre a ten-minute bus ride away. The accommodation provides for up to eight people in a detached house converted for use as a residential care home. Bedrooms are located on the ground, first and second floors of the premises. The home is centrally heated and all users have single rooms, en suite facilities and the use of a lounge and dining room. There is a small garden area to the side of the property and a garden and patio area to the rear. DS0000004002.V342566.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on August 13th and lasted five hours. The inspector met with the home’s manager, two members of the care staff and four service users. Records relating to care planning, medication, staff recruitment and training and health and safety were examined. An inspection of the premises was also carried out. The inspector is grateful to the service users for their input and help in completing this inspection. What the service does well: What has improved since the last inspection? Continuous improvements have been made to the care planning and records to encourage service users to identify their own goals and objectives. Parts of the home have been redecorated. The service users have been supported to develop a wide range of work experience and leisure activities. DS0000004002.V342566.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. The summary of this inspection report can be made available in other formats on request. DS0000004002.V342566.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000004002.V342566.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are given detailed and accessible information, and appropriate support to enable them to make clear choices about where they want to live. They are involved in a comprehensive assessment process, which assures them their needs will be met. EVIDENCE: The home a statement of purpose and service user guide available that uses symbols and pictures to promote understanding. Abbotsford currently has no vacancies. The last person moved to the home in September 2006. Records showed that an assessment was provided and that a care plan was developed shortly after admission. The manager explained that the admission process involves a series of preliminary visits to meet other residents, become familiar with the environment and view and plan their bedroom. Stable Family Home Trust has an admission policy that complies with the regulations and there was evidence from the records and in discussion with the manager that they and staff at Abbotsford fully implement the policy. DS0000004002.V342566.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are fully involved in planning and reviewing their own care. They are able to control what happens in their daily lives and be fully involved in the day-to-day running of the home. EVIDENCE: Care plans are available for each service user. They cover areas such as daily needs, lifestyle, personal hygiene, emotional needs and health and safety and any specific behaviour management. Opportunities to make choices and be independent are very clearly recorded in the care plans, and reference to privacy, dignity and respect are also included. Service users sign the plans to indicate their involvement and agreement with them and are supported to identify their own goals and ambitions, which vary from specific outings through to independent living. Risk assessments are in place, which cover areas such as fire safety, and healthy eating. The risk assessments cross reference clearly with care plans so that information is not missed. DS0000004002.V342566.R01.S.doc Version 5.2 Page 10 A sample of plans were examined and these were all appropriately reviewed, well organised with information being easily accessible. One service user helpfully went through their plan and was very clearly involved in all decisions about their daily life, routines and activities. The manager also confirmed that every service user is actively involved in developing and reviewing their own plan and residents spoken with indicated that they were in control of different areas of their lives, such as getting up, going to bed, their activities, diet and how they spent their money. Staff described how services users are encouraged and supported to be involved with the cooking, cleaning, shopping and other “shared tasks”. During the visit service users were observed working side-by-side with staff and there was and excellent rapport between staff and service users. A sample of risk assessments were seen and these were detailed and had all been reviewed. Pre inspection information shows that there are policies available for risk assessments, privacy, dignity and choice. DS0000004002.V342566.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy a comprehensive range of social and leisure activities of their choice in the home and community, promoting their quality of life. Service users appeared confident about their right to make choices and decisions about their lives and are appropriately supported to develop their skills of independence to whatever level they wish, both at home and in the wider community settings. Support from the home enables service users to maintain positive relationships with friends and relatives. Service users are involved in menu planning and are encouraged to manage a healthy balanced diet. DS0000004002.V342566.R01.S.doc Version 5.2 Page 12 EVIDENCE: All service users have weekly routines that they have been involved in planning. These include attendance at day centre, visits to relatives, work experience and college courses. Those service users met during the visit said they enjoyed life in the home and one person said, “ it is good fun, I go to work, I go out and I have special friends”. There was evidence in the records that staff encourage and support service users to maintain family contacts and said they phone home regularly. The manager and staff confirmed that friends and relatives are always welcome. Observations during the inspection show that service users are free to make drinks and snacks whenever they want, they help cook meals and there was a good supply of fresh fruit and healthy eating foods around the home. Service users manage their own finances with help and support from staff. Pre inspection information shows that there are policies and procedures for food safety and nutrition. DS0000004002.V342566.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are assured that their personal and health care needs will be met, by way of thorough care planning, clear procedures and robust record keeping. Service users are supported to access the healthcare professionals they require to ensure that physical and emotional health needs are met. Satisfactory arrangements are in place for the handling of medication, promoting service users’ well being and encouraging their independence. EVIDENCE: Pre inspection information shows that policies are available for medication administration and first aid. There is also evidence in records held by the commission that any accidents or injuries are managed appropriately. DS0000004002.V342566.R01.S.doc Version 5.2 Page 14 Service user files contain details of health appointments and any outcomes or changes to care plans that result from these. The records show that service users are having regular check ups and that their physical health needs are monitored by the staff team. The records identified such areas as medication, chiropodist and dentists. Service users attend appointments with support. Where necessary service users are supported to monitor their weight and this is recorded. Where necessary the plans also refer to personal hygenie and emotional needs and there was evidence in records that staff receive training in specilaist healthcare needs such as epilepsy. One service user said that the staff know how to help them and understand their needs. Medication administration records are completed in full and were found to be clear with a well documented audit trail of medication from ordering to administration or disposal. There are records for the use and administration of homely remedies and first aid and the procedures ensure that senior staff/manger are aware of and agree the usage of homely remedies. DS0000004002.V342566.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides safe environment for service users in which they are respected and treated with dignity. Service users are protected by appropriate policies and procedures and they are able to express their views in a responsive atmosphere. EVIDENCE: During the visit service users said that they know how to make a complaint, feel safe with staff and that staff listen to what they say. Service users also said that staff help them sort out any problems they have and they can talk about anything at the house meetings. No complaints have been made since the last inspection. Information about safeguarding adult issues, including a clear policy, is also available in the home and staff demonstrated clear understanding of these issues. Pre inspection information and records show that no safeguarding adult referrals have been made since the last inspection. The information also showed there is a policy in place for whistle blowing. No physical intervention or restraint is used in the home. DS0000004002.V342566.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy a comfortable environment and are involved in all decisions relating to the decoration of the home. Service users are encouraged and supported to personalise their bedrooms. EVIDENCE: Service users said that they choose the colours, the furniture and the carpets in their bedrooms and they decide how they want them arranged. Those bedrooms viewed were personalised and service users said they were happy with their rooms and have keys to their doors for privacy. There is a good size garden, which service users said they enjoy. Observations show that the home is generally well decorated and furnished and has a homely and comfortable atmosphere. Maintenance records show that any issues are resolved in a timely manner. All substances that could be DS0000004002.V342566.R01.S.doc Version 5.2 Page 17 hazardous to healthcare were stored appropriately, and gloves and aprons are available to staff. Records show that staff are trained in infection control procedures. DS0000004002.V342566.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained, well supported and safely recruited, which assures the service users that their needs will be met in safe and informed manner. EVIDENCE: Stable Family Home Trust has comprehensive policies in place, which ensures a good recruitment and selection framework, which helps to safeguard the service users’ safety and well being. All staff are up to date with statutory training, which includes fire safety, medication, infection control and first aid. The records show that staff have undertaken other training including the recognition and management of abuse and have access to training for nationally recognised care qualifications. Minutes of staff meetings show that areas such as policy up dates, care plans and service user needs are discussed. DS0000004002.V342566.R01.S.doc Version 5.2 Page 19 Staff files contain recruitment information such as identification, application forms, references and criminal record bureau checks. The records are detailed and well organised. The manager said that service users are involved in interviewing staff. Rotas show that there is a consistent staff team and staff said the manager encourages them and the service users to express their views. Staff said that there is good teamwork and they get regular supervision and annual appraisals. Staff said that during supervision they can talk about any work issues and training needs. Service users were very positive about the staff and the support they receive. One service user commented, “they always listen and help me, I like them all”. DS0000004002.V342566.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home, in which their safety and welfare is protected. Service users are able to control how their care and support is provided and are fully involved in the development of the services they receive. A range of auditing systems are in place which help monitor and improve the quality of the service and help to protect service users’ health and safety. DS0000004002.V342566.R01.S.doc Version 5.2 Page 21 EVIDENCE: The home is well managed and organised. All administration and recording examined during the inspection was up to date and information relatively easy to access. Staff and service users said that the management e.g. manager and chief executive of Stable Family Home Trust were approachable and supportive and worked well with the team. Feedback from outside professionals said the home communicated well and was always very positive to any enquiries. The manager receives regular supervision from the chief executive, who also completes regulation 26 inspections. All recording relating to health and safety had been completed, with tests being undertaken and the correct servicing of appliances completed. Accident records were clear and cross-referenced with daily notes. The home has a structured and planned system for maintaining a safe environment for staff and service users. DS0000004002.V342566.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000004002.V342566.R01.S.doc 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 16 17 3 3 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations DS0000004002.V342566.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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