Inspection on 21/06/05 for Abbotts Barton

This inspection was carried out on 21st June 2005.

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

The inspector 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

Abbotts Barton 04/10/07

Abbotts Barton 04/04/07

Abbotts Barton 17/10/06

Abbotts Barton 20/09/05

Abbotts Barton 07/12/04

Abbotts Barton 18/02/04

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Insight - Eastchurch

Southfields

Magenta

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Dovedale Court

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

CARE HOME ADULTS 18-65 Abbey Gardens 3 Abbey Gardens Chertsey Surrey KT16 0PT Lead Inspector Joe Croft Unannounced 21th June 2005 12:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 3 Abbey Gardens Address 3 Abbey Gardens Chertsey Surrey KT16 0PT 01932 569455 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Welmede Housing Association Ms Flint CRH 6 Category(ies) of LD - Learning Disability - 6 registration, with number DE - Dementia - 1 of places Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The age/age range of the persons to be accommodated will be: UNDER 65 YEARS OF AGE Of the six Service Users with Learning Disability (LD), one may also fall within the category of dementia (DE). Date of last inspection 07/12/04 Brief Description of the Service: Abbey Gardens is a detached house, providing accommodation and care to six people with learning difficulties. The home has six single bedrooms, five on the first floor, and one on the ground floor with en-suite facilities. Welmede Housing Association manages the house and has a contractual arrangement with the North Surrey Primary Care Trust to provide staff. The home is situated in a quiet residential road in Chertsey, a short distance from the town centre, which has a range of shops, a supermarket, church and several pub/restaurants. The home has its own transport. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours with one inspector. A tour of the premises was undertaken and staff and care records were sampled. The registered manager was interviewed, and other staff were spoken with during the course of their duties. Three of the five residents were spoken to during the inspection. Residents’ verbal communication skills were poor, but they were able to communicate through pointing, pictures, photographs and staff support. Residents informed the inspector that they were happy living in the home, and liked the activities. Residents spoken to said that they attend day centres where they take part in lots of different activities. They said the activities they do in the home include shopping, cinema, pubs and restaurants. Residents’ bedrooms were nicely decorated and had their personal belongings such as televisions, stereos, pictures and family photographs. Residents were able to convey to the inspector that they knew the staff, and liked them, that the food is good, and if they do not like a particular meal, they would be offered a different meal. Residents said that they made choices regarding activities they want to do, places to visit and choosing their own clothes. The residents are non - verbal, they were observed to have a close relationship with the carers, who used various communication aids to assist in the daily activities. What the service does well: The home was welcoming, clean and tidy, with clutter free communal spaces. It has a garden to the rear of the house that at the time of the inspection was nicely kept and free from hazards. The support offered to residents included opportunities to take part in shopping, swimming, going to the local pub, cinema, bowling and planning the annual holiday. It was observed there were good relationships between the residents and staff. The care planning was very good, and included risk assessments for activities such as making a drink, bus travel and cooking, all of which were updated at regular intervals. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 and 5 The home’s Statement of Purpose and service users guide are of a good standard, and provide residents and prospective residents with details of the services the home offers enabling them to make an informed decision about where they live. EVIDENCE: The home has a comprehensive Statement of Purpose that includes a description of accommodation, philosophy of care, community participation, care plans and services provided. Residents receive a service users guide, which uses pictures and Makaton signs. The home has not received an admission since 1999. However, the manager stated that the home would follow the Welmede Housing Association admissions policy and procedure that would include pre-admission assessments from care managers, and a number of visits to the home by the prospective resident prior to admission. The admissions policy was viewed at the time of the inspection. The manager stated that the home would not admit residents whose needs cannot be met. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 9 Residents’ files sampled during the inspection evidenced contracts and terms and conditions between the home and the resident, and were signed by the residents concerned. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 7 The systems for service user consultation were good, with a variety of evidence that indicated that residents’ views are sought in relation to their needs and life in the home. There were clear care plans and risk assessments in place, which ensure the needs of residents are met. EVIDENCE: All residents had a care plan. Care plans sampled were comprehensive and contained information that included personal goals, life style, choices, health needs, personal activities, individuality, communication and risk assessments. The manager stated that care plans will include the transition from Abbey Gardens to the new care home that is due to open place in October/November this year. There was evidence that key workers regularly update care plans. The manager stated that the care plans are written in consultation with the speech therapist, psychologist, the residents and their families. The residents had limited verbal communication. Residents spoken to did not understand the concept of the “Care Plan”. When asked about certain activities they choose to do, they were able to communicate this through pointing and showing the inspector pictures and photographs of the activities they enjoy. These responses reflected the recordings in their care plans. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 11 The care plans contain pictures and photographs to enable the residents to understand the contents. Discussions with care staff evidenced that they were aware of the contents of the care plans. Staff stated that residents communicate their needs, choices, likes and dislikes through a variety of ways that include body language, pointing, pictures and physically guiding you to show what they want. Staff stated that the residents are encouraged to make choices about their lives. The manager stated that advocates from Welmede Housing Association visit once a week to work with residents and staff. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 17 The home offers varied opportunities for residents to make choices about their lifestyles. Residents are encouraged and supported to have a wide variety of social contacts. The menus are chosen by the residents and offer variety and take into account any preferences or dietary needs. EVIDENCE: The manager stated that residents are not able to engage in employment, but they attend day centres where they take part in activities that are of interest to them. Residents spoken to were able to convey that they like the activities offered to them, which include; bowling, line dancing, trips to the theatre, shopping and trips into the local community. One resident had an interest in aircraft and had visited the local commercial and private airports. The manager stated that residents attend monthly meetings where they meet with peers from other Welmede Housing Association care homes and are often invited to attend parties. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 13 The menus were viewed and found to offer balanced and appetising meals. The manager stated that residents choose their evening meal on the day. This was verified during discussions with staff. Residents help to prepare meals. The meal observed during the inspection was noted to be a sociable occasion, and staff and residents eat meals together. The manager and staff stated that they often accompany the residents out to have meals. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 21 Staff have a good understanding of residents support needs and have good interpersonal relationships with residents. EVIDENCE: Care plans included clear guidelines of support each resident requires with personal care. Physical and emotional needs of the residents were also detailed in the care plans. Staff stated that personal care is provided in private and with respect at all times, and residents let them know if they are not happy with the way they are being treated. Wishes in regard to death and dying, and planning for growing older have been discussed with residents and their families, and are clearly recorded in individual care plans. The home, along with the Welmede Housing Association, are currently putting an action plan into place that will cater for the ageing needs of the residents of the home. Plans are in progress for the modification of a bungalow owned by the Welmede Housing Association, to be able to meet the physical needs of the aging residents, so they can move into the home together and with the same staff team. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home has a satisfactory complaints system in place and the staff have a very good understanding of Adult Protection issues which protects residents from abuse. EVIDENCE: The home had received no complaints since the last inspection. The home had a comprehensive Complaints Policy and Procedure in place, which staff sign to acknowledge that they have read and understood. During discussions with staff it was evident they knew how to make a complaint, and all stated they would contact the Commission For Social Care Inspection if they were not happy in the way a complaint had been dealt with. Staff were familiar with the Whistle Blowing Policy and stated they would report bad practice and abuse to the manager. Residents communicated through pointing that they would talk to staff if they were sad or unhappy. Staff stated that they had received mandatory training in the Protection of Vulnerable Adults. This was evidenced in staff training files. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25 AND 30 The general standard of the environment within this home is satisfactory, providing residents with an attractive and homely place to live. EVIDENCE: The residents live in a homely, comfortable and safe environment. Bedrooms are nicely decorated and residents have their own personal belongings that include televisions, videos, stereos and photographs of their families and friends. Communal areas were very clean, tidy and free from offensive odours. Residents had unrestricted access to communal areas. The manager stated that the home is due to move to a bungalow in October /November of this year, and therefore the redecorating programme would be on a hold unless a health and safety issue was identified. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 36 The home employs an efficient staff team providing a competent quality of care to the residents. EVIDENCE: The manager stated that new staff undergo a three week induction period that includes training in the Protection of Vulnerable Adults, personal care, care planning, independent living skills, epilepsy and care of the elderly. This was verified during discussions with staff. The home had a training programme in place that covers all the mandatory training. Staff have personal development plans. The home had eight members of staff whose qualifications included three NVQ level 2, two staff currently working towards NVQ level 3 and the manager working towards the NVQ level 4. Evidence of staff supervision was seen. Topics discussed included personal development plans, key worker roles, performance and objectives. These were recorded and signed. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 39 Residents benefit from a well managed home with staff that listens to their views and opinions. EVIDENCE: The registered manager is a qualified Registered Nurse with ten years experience of working with young adults with learning disabilities. The manager is currently undertaking the NVQ level 4 in management that is due to be completed in October 2005. The job description for the manager was evidenced and found to meet with the National Minimum Standards. Staff spoken to stated that the manager had an open door style of management, is easy to talk to and very approachable. Staff and residents stated that they have monthly resident meetings where they discuss and plan trips out, activities and holidays. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 19 The manager does not conduct an annual survey to ascertain the views of residents, their families or other associated professionals. A requirement will be made in respect of this. Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Abbey Gardens Score 3 x x x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x x x h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 39 Regulation 24 Requirement The manager must develop an annual questionnaire for residents, their families and other associated professionals to ascertain their views on the care provided. Timescale for action 21/8/05 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 Good Practice Recommendations Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection The Wharf Abbey Mills Business Park Eashing Surrey GU7 2QN 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 Abbey Gardens h58_s13482_Abbey Gardens_v232817_210605 stage 4.doc Version 1.40 Page 23 - 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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