This inspection was carried out on 14th April 2010.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: Abbottswood Lodge. Church Lane Swanton Abbott Norwich Norfolk NR10 5DY two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lella Hudson Date: 1 4 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Abbottswood Lodge. Church Lane Swanton Abbott Norwich Norfolk NR10 5DY 01692538455 01692538725 abbottswoodlodge@abc-care-solutions.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Abbottswood Lodge Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 22 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 22 The maximum number of service users who can be accommodated is: 22 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Date of last inspection Brief description of the care home Abbottswood Lodge is a period residence that has been adapted and extended to provide residential accommodation for up to 22 adults with learning difficulties. The property is in a very rural location outside the small village of Swanton Abbott, south
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home of North Walsham. The majority of places are in single rooms and nine of the rooms are located in a self contained unit in the extension. This has its own lounge and kitchenette. People accommodated within the main house generally have higher care needs. The home in addition has spacious communal accommodation and an activities room. The premises stand in extensive grounds overlooking farmland. Fees generally range from around £450 and are dependent on individual needs and support assessed at placement. A statement of purpose and service user guide is kept in the main office and is available on request. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
We carried out an unannounced visit to the Home on 14th April 2010 following recent incidents notified to the Commission. The Manager was on annual leave at the time of our visit but the assistant manager was present. During our visit we looked around the communal areas of the Home, spoke to staff and looked at records. There were 20 residents living at the Home at the time of our visit. We did not assess fully whether the previous requirements have been met on this occasion and so they are repeated at the end of the report. What the care home does well: What they could do better:
We have concerns about the ability of the Home to meet the needs of two of the residents and about the decision that was made to admit them to the Home initially. The residents have specific needs that are very different to those of the majority of the other residents living at the Home. The care plans for the two residents are not detailed enough to provide clear guidance to staff about how to meet their needs. Evidence of regular reviews and updates of care plans is lacking. The staff are not receiving adequate training, particularly with regard to individual residents specific needs. Staff do not feel confident in meeting all of the residents needs. There are concerns about the staffing levels. There are usually four staff on duty between 8am and 5pm with three staff on duty between 5pm and 10pm. However, due to increasing frailty and increased needs there are now some of the residents who require two staff and the use of the hoist when being assisted. The staffing levels are not adequate to ensure that residents are able to be supported to take part in meaningful activities. This would indicate that the requirement made at the last inspection with regard to this issue has not been met. The Home only has a dedicated cook for five days a week and at other times a member of care staff is responsible for the cooking. The rota confirms our discussions with staff which show that at some times there are no additional care staff on duty to cover for these tasks and so the number of care staff working with residents is reduced at these times.
Care Homes for Adults (18-65 years) Page 4 of 10 The Home includes a large main house with a large separate bungalow next door. There is no call bell system and so staff may, on occasion, find it difficult to locate other staff for assistance. It also means that residents are not able to call for assistance when they need it, for example, if they have a fall. We have serious concerns about the lack of evidence of regular servicing and maintenance of fire safety equipment. We were unable to locate up to date certificates for the fire alarm, the fire extinguishers or the emergency lighting. This is of particular concern due to the fact that two of the residents smoke in their rooms. We issued an Immediate Requirement with regard to this issue. We looked at the Safeguarding adults procedure and found that this was outdated and did not include the current arrangements in place in Norfolk for dealing with allegations of abuse. 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 2. Care Homes for Adults (18-65 years) Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 1 5 That each resident has a copy of the statement of purpose that includes the complaints procedure, in a format that suits the individual. 28/11/2008 2 14 12 That every resident has a regular opportunity for outings or activities outside the home, to ensure their needs are met. 28/11/2008 3 20 13 To ensure that cold storage of medicine meets with set guidelines. 29/09/2008 4 22 22 That there is a record of any 29/09/2008 complaint with identified actions, timescales and outcomes, to demonstrate that matters have been dealt with appropriately. Care Homes for Adults (18-65 years) Page 6 of 10 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 1 42 23 To ensure that all fire safety 16/04/2010 equipment is serviced adequately and to confirm to the Commission when this has been done To protect the safety of the residents and staff in the event of a fire Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 1 3 12 It is required that the Home only admits residents whose needs can be met there To ensure that residents needs are met 16/04/2010 2 6 15 It is required that the care plans contain detailed information about how residents needs should be met To ensure that staff have clear guidance about how to meet residents needs 31/05/2010 3 9 13 It is required that risks are 14/05/2010 identified and that appropriate assessments are carried out. To ensure that risks to Care Homes for Adults (18-65 years) Page 7 of 10 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 residents and staff are minimised 4 23 13 It is required that the Safeguarding adults procedure is reviewed and updated To ensure that staff have clear guidance to follow if needed 5 23 13 It is required that all staff receive appropriate Safeguarding Adults training To provide protection to the residents from abuse 6 33 18 It is required that staffing levels are adequate to meet the needs of residents To ensure that residents needs are met 7 35 18 It is required that staff receive appropriate training to carry out their roles effectively To ensure that staff have the appropriate skills to meet the needs of the residents 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 23/04/2010 31/05/2010 30/04/2010 30/06/2010 1 24 It is recommended that the company carries out a risk assessment with regard to the lack of call bells within the
Page 8 of 10 Care Homes for Adults (18-65 years) 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 Home. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
