Inspection on 18/08/06 for Abbottswood Lodge.

This inspection was carried out on 18th August 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 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Abbottswood Lodge. 14/07/10

Abbottswood Lodge. 26/05/10

Abbottswood Lodge. 14/04/10

Abbottswood Lodge. 10/06/08

Abbottswood Lodge. 28/06/07

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Abbottswood Lodge Church Lane Swanton Abbott Norwich Norfolk NR10 5DY Lead Inspector Mr Pearson Clarke Unannounced Inspection 18th August 2006 09:00 Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 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 Abbottswood Lodge DS0000067884.V309688.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 Adults 18-65. 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. Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbottswood Lodge Address Church Lane Swanton Abbott Norwich Norfolk NR10 5DY 01692 538455 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) Abbottswood Lodge Ltd Mrs Jennifer Buller Mrs Joyce Abbott Care Home 22 Category(ies) of Learning disability (16), Learning disability over registration, with number 65 years of age (5), Physical disability (1) of places Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22/09/05 Brief Description of the Service: 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 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 are £450. Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the providers ,the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home and this report gives a brief overview of the service and current judgements for each outcome. What the service does well: What has improved since the last inspection? The service management have recognised the importance of formal management training and commenced the registered managers award. Window restrictors have been fitted above the ground floor ensuring greater safety for service users. A programme of redecoration has continued in the main home Staff have received training in communication and are receiving dementia care training Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 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. Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 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 the following standard(s): 1,2,4,5 Quality in this outcome area is adequate. This judgement has been made based on evidence from the site visit and other information available to the commission. To improve quality in this area the service should develop a detailed pre-admission assessment tool which clearly demonstrates how the home can or cannot meet an individuals needs. EVIDENCE: The service has had no admissions since the last inspection, however at the time of this visit a prospective service user was being considered for admission. Full social work assessments were in place for this service user and the admission was being managed against a background of graduated visits to the home over a period of time, before the final decision is taken. The staff maintain a daily record in relation to these visits and the management stated that a plan of care will be developed. Information taken from the preinspection questionnaire demonstrated that the service user guide is available in audio form and that it is made available to prospective service users. Sample service user records were looked at and these indicated that service users have been issued with a contract. Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 6,7,9 Quality in this outcome area is poor. This judgement has been made based on evidence from the site visit and other information available to the commission. EVIDENCE: The services care planning system is somewhat basic and plans inspected had not been consistently reviewed. As such there is little individual goal setting and it is difficult to judge if individual service users are supported to take risks as part of an independent lifestyle, or of the degree to which people are able to exercise choice and control. See requirement Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 12,13,15,16,17 Quality in this outcome area is adequate. This judgement has been made based on evidence from the site visit and other information available to the commission. The outcomes for most service users are adequate, however the service needs to ensure that all service users have a lifestyle which allows them to fulfil their aspirations and potential. EVIDENCE: The service has a mixed resident group with people of differing ages and abilities cared for. Examination of care plans and discussion with staff and management indicate that the lifestyle for older more dependant service users is in line with their needs and wishes, however the home is less effective in helping to stretch the potential of more able residents. From observation and discussion with service users it is clear that people are treated with kindness and care and the atmosphere within the home is relaxed. Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made based on evidence from the site visit and other information available to the commission. EVIDENCE: The service continues to meet the health care needs of service users in an effective manner. Recent staff training in communication and signing has helped in the understanding of service users needs and is to be commended. Likewise training relating to dementia is welcome as a small number of the older service users are developing this condition. The home could demonstrate how it has responded to the changing needs of service users in an effective manner, for instance by the purchase of a hoist for a service user assessed to need it. The arrangements for the management and storing of medication were inspected and found to be satisfactory. Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made based on evidence from the site visit and other information available to the commission. The service has no history of complaints and staff are aware of the importance of protecting vulnerable people. EVIDENCE: The service has received no complaints and based on the responses from comment cards is a caring and kindly home. Staff continue to have training in adult protection and all of those interviewed during the site visit were aware of whistle blowing and confident they could report concerns if necessary. Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 24,30 Quality in this outcome area is adequate. This judgement has been made based on evidence from the site visit and other information available to the commission, and would have been good if the potential risk from hot radiators had been recognised and acted upon. EVIDENCE: Since the last inspection a programme of redecoration and refurbishment has been continued with. The downstairs hall ,corridors and the stairs have all been redecorated and new carpet has been fitted. Repairs have been made to the roof and a second bathroom has been refurbished. Extra banisters have been fitted on the stairs to help service users access the first floor. Window restrictors have been fitted on the first floor in line with the requirement made. All areas seen were clean and the home is comfortably furnished. Service users rooms were personalised and contain appropriate possessions. Given that there are service users who are developing dementia then the service needs to risk assess the heating system and guard radiators that pose a risk of burns. See requirement Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 14 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is adequate. This judgement has been made based on evidence from the site visit and other information available to the commission. For the service to achieve a good outcome greater effort must be made to promote modern best practice. EVIDENCE: The service continues to have a stable and caring staff team. With the exception of training in support of modern best practice for the client group, the service is providing a good basic training package to support staff in their roles. The home is close to meeting government NVQ targets and should exceed them as more staff complete this training. The employment process was tracked and the service continues to operate a safe and robust system. See repeat requirement Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 15 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate. This judgement has been made based on evidence from the site visit and other information available to the commission. EVIDENCE: Since the last inspection of the service the homes managers have started training to achieve the registered managers award. Both managers continue to show a great commitment to the welfare of those cared for and based on the views of staff on the day and the comment cards received are highly valued. The service has a satisfactory approach to health and safety and the visit embraced inspection of records in support of this. A quality survey has been undertaken as required at the last inspection, however the process was not extensive and a more rounded survey would have embraced a wider selection of stakeholders. Where service users finances are being managed by the home good records are kept and these were inspected and found to be in order. Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 16 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 Standard No Score 1 3 2 2 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 2 x 2 x LIFESTYLES Standard No Score 11 x 12 2 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 17 yes 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 YA35 Regulation 18 (c ) Requirement That the staff and management of the home undertake the learning disability award induction and foundation programme Repeat Requirement That the service introduce and maintain a more effective care planning system That the service ensure that opportunities for work or day services are available to individuals who wish for them That the provider risk assess the heating system and guard radiators which pose a risk to service users. Timescale for action 30/11/06 2 3 YA6 YA12 15 12 30/11/06 30/11/06 4 YA24 13 30/11/06 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 Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Abbottswood Lodge DS0000067884.V309688.R01.S.doc Version 5.2 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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