Inspection on 17/10/08 for Abbotts Barton Nursing Home

This inspection was carried out on 17th October 2008.

CSCI found this care home to be providing an Good service.

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 Nursing Home 12/12/06

Abbotts Barton Nursing Home 06/02/06

Abbotts Barton Nursing Home 19/01/05

Abbotts Barton Nursing Home 21/07/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Abbotts Barton Nursing Home 40 Worthy Road Winchester Hampshire SO23 7HB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kima Sutherland-Dee     Date: 1 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Abbotts Barton Nursing Home 40 Worthy Road Winchester Hampshire SO23 7HB 01962626800 01962626803 abbotsbarton@coltencare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Denise Smyth Type of registration: Number of places registered: Colten Care Limited care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: From time to time the home may admit service users under the age of 65 years Date of last inspection Brief description of the care home Abbotts Barton Nursing Home is owned by Colten Care Ltd (the organisation), who own and manage a number of care homes in Hampshire and Dorset. The home was opened in 2001 and accommodates up to 60 older people, providing both personal and nursing care. It was purpose built and the accommodation is arranged on three levels, all bedrooms are single rooms with en-suite facilities. The home benefits from a variety of communal areas and passenger lifts provide access to all floors. The home is set in pleasant landscaped grounds and is located in a residential area, close to local amenities and the centre of Winchester. Other facilities and services provided by the home include a variety of organised activities, hairdressing and a laundry service. The current weekly fees are #826 for personal care and #993 per week for nursing care. Care Homes for Older People Page 4 of 25 Over 65 60 60 0 0 Brief description of the care home Extra services such as hairdressing [#16 - #52] and chiropody [#15] are usually billed monthly. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The service was inspected on the 17th October for 3 hours and 45 minutes. The inspection included speaking with the service users and visiting relatives, speaking with staff and both the manager and the visiting operations manager. A sample of the records were reviewed and the care was observed, as well as the home environment. During preparation for the inspection we reviewed the last inspection report and any information that had been sent to the commission since then including the homes own assessment called the AQAA. Twelve service users surveys were returned and this information is referred to throughout the report. Fees for this service range from 885.00 per week for residential care to 1064.00 per week for nursing care. Care Homes for Older People Page 6 of 25 Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users and their relatives benefit from a comprehensive assessment process that ensures the home can meet their needs and they are assisted with all aspects of their move to the home. Evidence: The previous report recorded that the home provides the information prospective service users need to be able to make an informed decision about the suitability of the home. Two service users and one relative said that they had been given information and the manager had talked to them about the service. The manager or senior staff visit each prospective service user at their own home or in hospital if necessary. These assessments are used to get to know people and to assess their needs, this may include contacting other health professionals involved in a persons care. Service users are invited to visit the home and the manager informs Care Homes for Older People Page 10 of 25 Evidence: them if the home can meet their needs prior to them moving in. The AQAA states that the service has improved the pre admission process by extending the information gathered on the pre admission form in the last twelve months. The AQAA also states that staff are briefed about the needs of a new service user and a member of staff confirmed that this had happened. There is also a follow up meeting two weeks after an admission to make sure the service user has settled in and they are having their needs met. The service users guide is in easy read format and is given to each new service user, this document includes the terms and conditions of the home. The AQAA states that the manager meets with prospective service users and discusses funding and costs, including giving direction towards funding agencies and support. The AQAA states that the admission process goes smoothly because these measures are in place and a recently admitted service user confirmed that they had been helped through the admission and during the settling in process. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users benefit from staff who understand their needs and preferences and are able to meet these needs. The staff are trained to manage medicines safely. The staff treat the service users with respect, and make sure they maintain their dignity and privacy. Evidence: Six care plans included all the information that the staff need to offer the right care. They included risk assessments and each persons preferred routines which means the staff get to know each service user and what they are able to do for themselves to help them maintain their independence. The care plans are reviewed monthly which means any changes are recorded and communicated to the care staff. The care plans included detailed daily records of the care that each person received, but the manager agreed it would be useful if the staff included the times that they gave the care so that it is clear the staff are following peoples preferred routines. The staff said that the service users choose when they get up and go to bed and a visitor confirmed that their Care Homes for Older People Page 12 of 25 Evidence: relative had staff help when they wanted it and not for the staffs convenience. The staff said they have time to meet everyones needs and a visitor said they noticed how well their friend looked, they said They always look neat and well dressed with hair done beautifully. One person who completed a survey commented that I cannot praise the staff enough for the help they give me. The service users said that they always get the health care they need and the manager said that the home has good links with local G.Ps and other health care professionals. The service stated in their AQAA that there are comprehensive policies to manage medicines safely and that the procedures are checked. The previous report said that the home is effective at managing the service users medication and staff have been trained to administer medicines. The service provides care through the last stages of life and they have staff who have special training in palliative care. The AQAA states that the service also has good links with palliative care community nurses who can provide advice or services. The care planning process includes peoples wishes and needs and the home has policies that guide the staff in palliative care. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides an excellent range of activities both in groups and individually that the service users enjoy. The service users benefit from meals they enjoy and that meet their dietary needs. The service users choose how to spend their time and visitors are always welcome. Evidence: The service users said there is plenty going on in the home. One person said You can keep busy and keep your independence someone else said Yesterday we had a quiz, I join in with everything, the other day we went for a ride in the minibus to see the countryside. The activities are organised and people are asked their opinions regularly about what they like. There are adverts up in the home for all the activities and there are opportunities for those that choose not to join groups to pursue their own interests. There is a well equipped activities room on the top floor and the service users who completed surveys were generally positive about activities in the home. The service users are able to move freely around their home and to choose how they spend their day. The visitors spoken with said that their relatives had settled well in the home and one service user commented that Its like a home from home. Care Homes for Older People Page 14 of 25 Evidence: Before lunch a large group of service users had gathered in one of the lounges and they were chatting and laughing together. One person said This is the best time of the day as they come around with the sherry before lunch and on Sundays we are offered wine with our meal The atmosphere was pleasant and cheerful with many service users chatting to staff and singing. One service user said there are residents meetings and mens and womens groups who meet regularly. One service user survey said The home has a pleasant, welcoming atmosphere This was confirmed by all of the service users and a number of visitors at the home. The service users are regularly asked by the home if they are satisfied with the food. One persons survey commented that the chef is helpful and willing to meet specific requests. All the service users except one said they liked the food, one person said they liked everything except the sausages. The manager said that at the last residents meeting the chef got a standing ovation from the service users. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users benefit from staff and managers who are trained to respond to complaints and to protect them from harm. Evidence: The service has a clear complaints and protection policy and the staff have been trained to respond to complaints or suspicions of abuse. The AQAA states that staff are trained annually in how to protect the service users. The staff gave examples of how they would report all concerns to the manager. One complaint was received by the commission who then passed this on to social services. The manager explained that social services have had a meeting and they were satisfied with the measures the home were taking and they were not taking any further action. The operations manager said that the home had, had a high staff turnover this year due to a number of personal circumstances or due to staffs poor performance and this may have led to complaints. The service users who completed surveys said they knew how to complain and they also told us that the manager and the staff listened to them and acted on what they said. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users benefit from a well maintained comfortable home that meets their needs. The home is clean and staff are trained to prevent the spread of infection. Evidence: The home is large, well decorated and comfortable. the service users who completed surveys and those we spoke with said how nice the home was, they commented that It is like a home from home It is like a hotel It is always fresh and clean The service users moved freely around the home and made use of all the lounge areas and the large reception area where there was comfortable seating. The home smelled fresh and looked clean throughout the communal and private areas. The service users said they liked their bedrooms and they were able to bring in their own furniture and personal possessions. A sample of the bedrooms were seen and they were well furnished and decorated. The garden is fully accessible and level and the service users said they liked to go out in good weather and one person said they liked to watch the birds at the feeders. The service employs a team of cleaning staff and four cleaners said they had attended infection control courses. Care staff have also attended infection control courses. A member of staff was asked about the use of hoists to help service users to mobilize. This member of staff said that each person who needed a hoist had their own Care Homes for Older People Page 17 of 25 Evidence: equipment in their rooms to prevent the spread of infection. The home supplies all the equipment that is needed to work safely such as aprons and gloves and the staff were observed using these. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users benefit from enough trained staff to meet their needs. Evidence: The service users were complimentary about the staff and they said they were able to meet their needs. One comment was made that it was not always easy to get the right member of staff. The staff work in teams on the three floors of the home and unless someone goes on sick leave with little notice there is one qualified nurse and three carers on each floor. The organistation have reviewed the staffing levels and they are continuing their efforts to recruit new staff including adding an extra nurse for night duty. The staff files have all the information to show that that the required checks are carried out before staff start work for the protection of the service users. These checks include a criminal records bureau check, a full employment history, identification and two references. Staff said they have had training and this is recorded in their files. The organisation offers a wide variety of courses which enhance the staffs skills and knowledge. Two staff are trained as National Vocational Qualifications ( N.V.Q) assessors and the organisation is committed to employing staff with these qualifications or training staff to achieve them. New staff take part in an induction programme which teaches them about the home, the needs of the service users and the homes policies. Care Homes for Older People Page 19 of 25 Evidence: When agency staff are used the manager tries to use the same staff so they get to know the service users and they can then offer a consistent service. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed effectively and safely for the benefit of the service users. Evidence: The service users and the staff commented that the manager was approachable and helpful. The manager is well qualified and experienced and they have the support of a larger organisation. The AQAA states that the management structure is clearly defined and supportive and that the manager encourages good communication in the home and a professional approach to the service users, the staff and other professionals. The organisation seeks the views of people who use the service and they use these views to make improvements to the service. The organisation develops a plan which the manager uses in the home to improve the service. There are plenty of ways the service users can contribute to the running of the home, these include, speaking to the manager or the staff ,attending residents meetings and completing the homes surveys. The staff said that they are well supported by senior staff and the manager and their files demonstrate that they have regular supervision meetings and annual appraisals Care Homes for Older People Page 21 of 25 Evidence: so they get and opportunity to discuss their roles, their training needs and their performance. The previous report stated that the home manages health and safety well. The staff are trained in health and safety and the service employs people who are responsible for maintaining the home. The fire equipment is serviced and a service user and a member of staff said that regular fire equipment testing and drills take place. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!