Inspection on 01/06/06 for Abbott House Care Home

This inspection was carried out on 1st June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Abbott House Care Home 29/05/08

Abbott House Care Home 07/09/07

Abbott House Care Home 30/01/06

Abbott House Care Home 11/08/05

Abbott House Care Home 14/01/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Abbott House Care Home Glapthorn Road Oundle Northants PE8 4JA Lead Inspector Mrs Linda Preen Unannounced Inspection 1st June 2006 10:00 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 Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbott House Care Home Address Glapthorn Road Oundle Northants PE8 4JA 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) 01832 272 516 01832 275393 abbott_house@shaw.co.uk www.shaw.co.uk Shaw Healthcare (de Montfort) Ltd Mrs Lynda Taylor Care Home 20 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (20), of places Physical disability over 65 years of age (6) Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All re-development work detailed in the refurbishment plan submitted to the Commission on 25.04.04 must be completed by March 2009. The home may continue to accommodate 1 named service user who falls within the registration category A (E) No one falling within the category of DE (E) may be admitted into the home where there are 6 service users who fall within the category of DE (E) already accommodated within the home. No one falling within the category of PD (E) may be admitted into the home where there are 6 service users who fall within the category of PD (E) already accommodated within the home A Total of 20 residents may be accommodated in the home at any time. A total of 20 residents in the category of OP (older people) may be accommodated within the home at any time. A total of 6 residents in the category of DE (E) (Dementia) may be accommodated in the home at any time. A total of 6 residents in the category of PD (E) (Physical disability) may be accommodated in the home at any time. No more residents may be accommodated in the home when there are 20 residents accommodated. 30th January 2006 4. 5. 6. 7. 8. 9. Date of last inspection Brief Description of the Service: Abbott House is owned by Shaw Healthcare (de Montfort) Ltd, and is registered to provide twenty four hour care for 20 Older people, of whom up to 6 may have a diagnosis of a dementia related condition, and up to 6 may have a physical disability. The home is situated on the outskirts of Oundle in East Northamptonshire, and is within walking distance of the town, which has a variety of small shops. The home is divided in to small units and is surrounded by pleasant gardens. All bedrooms are single occupancy, and residents of both sexes and ethnic background may be accommodated, although at present all residents are white and British which reflects the local community. Fees are at levels set by Northamptonshire County Council who contract the beds in the home. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three hours were spent prior to the inspection, reviewing previous requirements and recommendations, and collating information provided by the service. The inspection took place over a period of five hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be monitored. This included looking at their records, talking to them and also to the staff concerning the care received. In addition to this a limited tour of the environment was undertaken. Comment cards had been received from 14 residents, 15 relatives and the local General Practice. All of these comment cards gave positive feedback with such comments as “ I am always amazed at the loving care and standards observed in the care of my mother” and “ I couldn’t wish for a better place to be in, it’s 24 hour care is second to none” being made. What the service does well: What has improved since the last inspection? Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 6 A washbasin has been provided in an upstairs bedroom as required at 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. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Standard 6 does not apply to this home. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The pre-admission process of all potential residents to the home is well managed, to ensure that their needs can be met in the home. EVIDENCE: A statement of Purpose is provided to ensure that older people and their families can make a fully informed choice about whether the home is suitable and will be able to meet their needs. A copy of this was available in the reception area of the home. Full assessments from Care Managers and health care professionals are completed, and a member of the home’s staff meets with the potential resident and carries out a homes assessment prior to admission. Residents move in on a trial basis, during which time a comprehensive assessment takes place, including the completion of a “getting to know you” document describing the person and their history. Following the trial period a Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 9 review meeting is held with the resident and relatives to decide if a permanent place can be offered. Signed copies of Statement of Terms and Conditions were available in the files monitored. Several copies of the last inspection report were available throughout the home. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Individual plans of care ensure that staff are aware of residents needs and the way in which these may be met to maximise their independence. EVIDENCE: Two residents were chosen for reviewing and case tracking during the inspection and records for both were found to have been completed to a high standard, indicating identified needs, short term and long term goals, and the clearly defined tasks required by care staff for residents to achieve those goals. In discussion staff were aware of resident’s specific needs. Residents spoken to confirmed that the standard of care and attention was very good and that staff were very caring and friendly. A volunteer in the home commented on the happy relaxed atmosphere present at all times in the home. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 11 Frequent reviews of the care plans are conducted, and necessary changes made to the care plan. These care plans and reviews include discussion with the resident and their next of kin. Records of General Practitioner and other health care professional visits were seen on the files checked. Systems for the ordering, storage, administration and return of medication were monitored and found to be satisfactory. Residents are assessed for their ability/willingness to control their own medication. Currently one resident does this and she is provided with a locked container in which to store her medication. Staff were observed to treat residents with respect and to offer assistance in an unobtrusive way when required. Staff knocked on resident’s doors before entering. One resident had chosen to have personal care provided only by female staff and this request was respected. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Social activities and meals are well managed and creative, providing daily variation and interest for people living in the home. EVIDENCE: Records of residents preferred activities and lifestyle were available and also records of their interaction with activities provided. An activities organiser is employed in the home. At the time of the inspection, a resident was involved in a craft project. Other residents were watching television, reading or working on puzzles. The mobile library comes to the home to enable residents to change their books. The monthly programme of activities is on display in the reception area and includes such things as Bingo, Bowls, films, outside entertainers, and crafts. The dining room had been decorated with St George’s flags in preparation for the World Cup. A trip to the seaside has been planned for July. Residents are supported to access the local community. One gentleman had been into the nearby town to the market on the morning of the inspection and Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 13 another lady reported being taken out in her wheelchair. The local Mother’s Union meets in the home to allow some of the ladies to take part. Visitors are welcome at any time and accessed the home freely throughout the inspection. Resident’s files recorded their preferences concerning times of rising and retiring, clothing, food and lifestyle. Residents spoken to confirmed that they are able to choose how to spend their day. One gentleman said that he could get up when he liked and that mealtimes were flexible so he could always have a later breakfast. A staff member stated that she had recently worked on the night shift and that a different group of residents had chosen to get up early on different days. Menus provided demonstrated that a varied, nutritious range of food is offered. All residents spoken to confirmed that the standard of food was excellent, with choices of menu and portion size being offered. Meals are served at small family sized tables in an attractive dining room. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Residents may be confidant that their concerns will be addressed and that they will be protected from abuse. EVIDENCE: There have been no complaints or concerns reported to the Commission for Social Care Inspection or reported in the home since the last inspection. A copy of the complaints procedure was on display on the notice board by the dining room. Residents confirmed in their comment forms that they were aware of the complaints procedure. A copy of the Interagency Policy for Protection of Vulnerable Adults was available in the home. Staff confirmed that they had received training in this subject and were aware of their responsibilities in reporting any actual or suspected cases of abuse. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 15 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, 23, 24, 25 and 26 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The environment provides safe comfortable surroundings and is maintained to an acceptable standard. EVIDENCE: The owners and the Commission are aware that the building does not meet the current standards for care homes and is in need of substantial investment to bring the home up to standard. Building work is scheduled to begin on a replacement home on the site this year. Two rooms on the first floor have been converted to resident accommodation as a temporary measure while the new building is in progress. One of these rooms did not have a washbasin fitted and this has been rectified as required at the last inspection. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 16 A limited tour of the existing building was undertaken during the inspection and the home was found to be accessible, safe and fit for its stated purpose. It was bright and airy with pleasant communal rooms furnished in a homely manner. A pleasant garden area is provided and one resident said she enjoyed a walk outside each day when possible. Resident’s rooms were pleasantly decorated and had evidence of personalisation in the form of pictures and ornaments. One resident had examples of his own art on display in the home. All areas of the home seen were very clean and tidy. Separate domestic staff are employed to maintain this standard. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Procedures for the recruitment of staff provide safeguards necessary to offer protection to the people living in the home. Staff are provided with training and in sufficient numbers to meet the needs of the residents. EVIDENCE: Duty rotas provided demonstrated that staffing is provided at a level suited to the needs of the residents. This staffing level is based on a dependency tool designed by the company. A sample of staff files seen, demonstrated that recruitment policies and procedures protect residents from potential harm. Criminal Records Bureau Checks, references and medical questionnaires are completed prior to employment. Work permits were available for overseas staff, and an equal opportunity policy is in place. Staff spoken to confirmed that an induction programme was in place for new staff and that they worked with a more experienced carer until they were confident in meeting resident’s needs. A training matrix demonstrated that all staff have statutory training completed and that updates are provided when needed. 64 of care staff currently hold a National Vocational Qualification in care, which exceeds the 50 required. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 18 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, 33, 35, 36 and 38 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. There is an effective and proactive management structure in place that is accessible and responsive to the needs of both the residents and staff. EVIDENCE: The Registered Manager meets the standards for Registered Managers as set out, and has completed the National Vocational Qualification level 4 in management, and the Registered Managers Award. Residents and staff confirmed that they were able to talk to the Registered Manager about anything and were confident that she would listen to them and sort out problems in a professional way. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 19 Copies of resident and staff meetings were available. One of the team leaders is responsible for collating resident questionnaires prior to each resident meeting in order that their views may be considered. She also completes a three monthly Health and Safety audit. Resident pocket money accounts were seen and good systems were in place to ensure the interests of the residents were protected. Staff supervision is delegated to the team leaders and they confirmed that this was done every two months. Records of the testing of fire alarms, emergency lighting and fire exits were seen and found to be satisfactory. Regular fire drills are also held, with 18 staff having attended the last one on the 2nd May. Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 21 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. Refer to Standard Good Practice Recommendations Abbott House Care Home DS0000060179.V297805.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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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