Inspection on 30/01/06 for Abbott House Care Home

This inspection was carried out on 30th January 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 01/06/06

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 Unannounced Inspection 30th January 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.V280720.R01.S.doc Version 5.1 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.V280720.R01.S.doc Version 5.1 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 272 516 029 2036 4322 Shaw Healthcare (de Montfort) Ltd Mrs Lynda Taylor Care Home 32 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (32), of places Physical disability over 65 years of age (6) Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. 9. 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 already accommodated. 11th August 2005 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 Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One hour was 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 four 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. What the service does well: What has improved since the last inspection? Staff have received an update in Dementia Care that the staff member spoken to described as very useful in recognising the special needs of this group within the home. Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 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. Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 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.V280720.R01.S.doc Version 5.1 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 and 3 The pre-admission process of all potential residents to the home is well managed. 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. 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 review meeting is held with the resident and relatives to decide if a permanent place can be offered. Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10 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 files were chosen for reviewing and case tracking during the inspection and 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. 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. One Gentleman was attending the hospital on the day of the inspection and a member of staff was planning to accompany him. One of the residents chosen to case track had been assessed as able to control her own medication, and policies and procedures were available to guide staff concerning this. A locked container is provided in which to store her medication. Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 Page 10 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.V280720.R01.S.doc Version 5.1 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 Social activities and meals are well managed and creative, providing daily variation and interest for people living in the home. EVIDENCE: An activities organiser is employed in the home. At the time of the inspection, a group of residents was involved in a craft project. One lady spoken to confirmed that she likes to play BINGO and takes part in the weekly Tai Chi sessions. Another lady enjoys reading and doing crosswords and also takes part in the regular quizzes. Residents are encouraged to be involved in the local community and one lady had gone out to the local hairdresser during the morning. Another lady was recorded as having enjoyed the “Mothers Union” meeting. Residents are informed about the forthcoming activities through a newssheet and through items posted on the notice board. Some of the residents have had to move out of the home on a temporary basis owing to the proposed building works. This has disrupted some friendships in the home, and arrangements are being made to take residents to visit them to enable these friendships to continue. Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 Page 12 Evidence was available of resident’s individual choices concerning their daily routine, food and activities, and residents spoken to confirmed that they could choose where to spend their day and at what time to rise and retire. All of the residents spoken to stated that the standard of food was good and was offered in good portions. Choices are available at all meals, including breakfast where cooked alternatives are sometimes available. Lunch was observed to be served in a pleasant dining room, with residents seated at small tables to create a homely atmosphere. Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 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): These standards were not assessed on this occasion. EVIDENCE: Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 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, 23, 24 and 26 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 in February of this year. The observations made during this inspection were concerned with the safety of the building rather than the décor. A limited tour of the building was undertaken during the inspection and the home was found to be accessible, safe and fit for its stated purpose. Part of the building had been emptied in preparation for the building works. This area is self-contained and will not cause disruption to the lives of the remaining residents in the home. Two new bedrooms have been provided on the first floor of the building to reduce the number of residents needing to be moved Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 Page 15 out of the home. One of these rooms does not have a hand basin and the Registered Manager undertook to rectify this situation as soon as possible. Permission was given to use this room in the interim to obviate the necessity to delay the commencement of the major building work. Resident’s rooms seen were warm and comfortable with evidence of personalisation in the form of pictures, ornaments and small items of furniture on display. 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.V280720.R01.S.doc Version 5.1 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): 30 The home has a commitment to staff training. EVIDENCE: The Registered Manager stated that statutory training is provided for all staff. The company employs a training manager for the area to ensure that new staff have a comprehensive induction. One member of staff spoken to confirmed that she had recently completed Dementia training, which had given her, an insight into the specialist needs of this group. She also stated that she had just completed National Vocational Qualification level 2 which she had enjoyed. Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 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, and 33. 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. In addition she attends periodic training to update her skills. 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. Regular staff and resident meetings are held, and minutes of these meetings were on display on notice boards in the home. Regular audits of all areas of care are completed to ensure a high standard of care is provided. Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 Page 18 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 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 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 X 17 X 18 X 3 X X X 2 3 X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 X X X X X Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP24 Regulation 16(2) c and g Requirement A washbasin must be fitted to the new bedroom provided on the first floor in order to provide a satisfactory standard of hygiene for both the resident and staff providing care. Timescale for action 01/03/06 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.V280720.R01.S.doc Version 5.1 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI Abbott House Care Home DS0000060179.V280720.R01.S.doc Version 5.1 Page 21 - 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. 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