This inspection was carried out on 3rd May 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.
CARE HOMES FOR OLDER PEOPLE
Aberdeen House Residential Home 20 Stockerston Road Uppingham Rutland LE15 9UD Lead Inspector
Martin Hefferman Unannounced 3 May 2005 09.30
rd 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 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. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Aberdeen House Residential Home Address 20 Stockerston Road Uppingham Rutland LE15 9UD 01572 823308 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) Mrs Linda Jane Thornalley Mrs Joanne Chapman Care Home 18 Category(ies) of OP Old Age (18) registration, with number PD(E) Physical Disability - Over 65 (1) of places Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 6th November 2004 Brief Description of the Service: Aberdeen House is an 18-bedded residential care home for older people. The home, which is a converted farmhouse, is situated in Uppingham, close to the centre of this rural village. Residents rooms are located on two floors with a shaft lift and a stair lift providing access to upstairs facilities. Residents have access to a communal lounge / dining room, a conservatory and a quiet lounge. There is a well-maintained patio garden outside. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over the course of three hours forty minutes. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussion with them, the staff and observation of care practices. Four residents were spoken to during the course of this inspection. What the service does well: 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. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 7 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 standard(s) 3 & 6 Assessment practices are effective ensuring that residents’ needs are identified prior to their admission. EVIDENCE: The home had completed its own assessments of the three residents who were chosen for the purposes of case tracking. A copy of an assessment completed by a social worker was available for one of the three. The registered provider stated that she would confirm the outcome of the assessment process to prospective residents either verbally or in writing. The home does not provide intermediate care. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 8 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 standard(s) 7 & 9 Individual plans are clear and comprehensive, providing staff with the information they need to meet residents’ needs. Residents are protected by the home’s practices regarding the handling of medication. EVIDENCE: Individual plans for the three residents who were chosen for the purposes of case tracking set out their care needs. Each of the plans that were inspected had been reviewed on a monthly basis. Records indicate that residents are encouraged to participate in the completion of their plans. The owner stated that the home was in the process of introducing a ‘getting to know you’ form, which would enable staff to build up more detailed background information. Records of the receipt and administration of medication met relevant requirements. A contract pharmacist inspected medication arrangements at the home during February 2005. Records indicate that no problems were identified. Staff members receive medication training from the owner and the registered manager, both of whom are qualified nurses. A number of staff members were about to start a 12-week course on the safe handling of medication. Some of them will be completing it as refresher training. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 9 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 standard(s) 12 & 15 Arrangements for social activities and the provision of meals are well managed with the result that both appear to meet residents’ expectations. EVIDENCE: Residents stated that they are able to participate in activities if they wish. Since the date of the last inspection, the home has employed a part-time activity organiser. Records indicate that a varied programme of activities has taken place. Residents are able to attend regular religious services, both within the home and at local churches. Residents stated that they enjoy the meals that are provided. A daily menu is displayed on a notice board in the dining room. Residents stated that a choice of meals is available at teatime and that the cook would prepare an alternative at lunchtime if required. Records indicate that service users receive a varied and nutritious diet. Individual plans contain details of any likes or dislikes and of any assistance required. Residents confirmed that staff members are aware of their personal preferences. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 16 Arrangements for dealing with complaints support the protection of service users’ rights. EVIDENCE: Residents stated that they felt that any complaints would be listened to and acted upon. The complaints procedure is set out within the Statement of Terms & Conditions and within other documentation produced by the home. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 19, 20 & 26 The standard of accommodation is excellent providing residents with comfortable and homely surroundings in which to live. EVIDENCE: Residents expressed satisfaction with the environment in which they live. The areas of the home that were inspected were decorated and furnished to a high standard. They were clean and free from offensive odours. Residents have access to a communal lounge / dining room, a conservatory and a quiet lounge. There is a well-maintained patio garden outside. A number of residents have furnished their rooms with their own possessions. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 29 Staff members are deployed in sufficient numbers to meet residents’ needs. An identified shortfall suggests that recruitment practices do not provide sufficient protection for residents. EVIDENCE: Staffing levels comply with the requirements set by the previous regulatory authority. Since the date of the last inspection, the home has deployed an additional member of staff between 5.30 and 7pm. Residents stated that staff members are very helpful and that they always respond quickly to calls for assistance. The records relating to two staff members were inspected. Whilst one contained two references and a copy of a Criminal Records Bureau disclosure, the second contained one reference, which appeared to have been completed over the phone. The home had yet to receive a copy of the latter’s Criminal Records Bureau disclosure and had not checked the Protection of Vulnerable Adults list. The owner stated that she would take immediate action to rectify these omissions. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Residents are protected by the home’s current working practices. EVIDENCE: The members of care staff whose records were inspected had received training in first aid, fire safety, food hygiene and manual handling. Records indicate that fire tests and drills have been completed at the required frequency. Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 14 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3
COMPLAINTS AND PROTECTION 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 3 Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 15 No 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 29 Regulation 19 Requirement The registered person must comply with the requirements of Regulation 19 when employing staff to work at the home. Timescale for action With effect from 03/05/05 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 Aberdeen House Residential Home C51 S6456 Aberdeen House V224524 030505 Stage 4.doc Version 1.30 Page 16 Commission for Social Care Inspection Newland house Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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